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Reintegration & recovery after surviving cardiac arrest: Learning from the VACAR registry

      Survival after sudden cardiac arrest (SCA) is no longer an aberration.
      • Benjamin E.J.
      • Muntner P.
      • Alonso A.
      • et al.
      Heart disease and stroke statistics-2019 update: a report from the American Heart Association.
      Our systems of care continue to innovate care delivery and identify barriers to lay-rescuer SCA recognition and response.
      • Mausz J.
      • Snobelen P.
      • Tavares W.
      “Please. don’t. die.”: a grounded theory study of bystander cardiopulmonary resuscitation.
      • Blewer A.L.
      • Abella B.S.
      Unmeasured interface in emergency cardiovascular care: how do dispatch-assisted telephone cardiopulmonary resuscitation and bystander training interact?.
      Over the last several years, there has been increasing interest among clinicians and scientists in describing, measuring, and investigating interventions to optimize life and healing after SCA. The recent Core Outcome Set for Cardiac Arrest (COSCA) initiative culminated in an advisory statement recommending a core outcome set for effectiveness trials on SCA in adults.
      • Haywood K.
      • Whitehead L.
      • Nadkarni V.M.
      • et al.
      COSCA (Core Outcome Set for Cardiac Arrest) in adults: an advisory statement from the International Liaison Committee on Resuscitation.
      It recommends that “survival, neurological function (modified Rankin scale), and health-related quality of life (HRQoL) measures be reported at discharge, 30 days, 90 days, and out to 1 year as possible”.
      • Haywood K.
      • Whitehead L.
      • Nadkarni V.M.
      • et al.
      COSCA (Core Outcome Set for Cardiac Arrest) in adults: an advisory statement from the International Liaison Committee on Resuscitation.
      Importantly, this initiative was a collaboration among patients, their partners, and the clinical and scientific communities, thereby incorporating long term patient-specific values alongside administrative benchmarks.
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