CanROC is still at the early stages, establishing new relationships and expanding across Canada. Prior to launching large-scale interventional trials, there is an initial focus on establishing research infrastructure to collect data, establish current benchmarks, and then move towards quality improvement. The primary tool for reaching these goals is the CanROC Registry, which contains two current studies: cardiac arrest and trauma.
Cardiac Arrest Registry
The Cardiac Arrest Registry captures data for every out-of-hospital cardiac arrest patient within the CanROC catchment area. Cardiac arrest is a disease condition in which the heart is unable to effectively circulate blood to the brain and other vital organs, resulting in loss of consciousness, cessation of breathing, and eventually death. Sudden cardiac arrest has a mortality rate of up to 95% in some communities, and results in 30 000 deaths each year in Canada.
The Cardiac Arrest Registry will collect data on cardiac arrest events, including patient demographics, bystander interventions (such as CPR or defibrillator use), emergency response times, treatments provided by emergency medical responders (including drug therapy and CPR quality), and patient outcomes. By analyzing this data CanROC will be able to look for trends, best practices, and guide future protocol development, all of which can help increase survival. Additionally, participating services will have access to this data to determine areas that can be improved locally to help give patients the best chance at surviving cardiac arrest.
Data collection is currently ongoing at three Canadian sites representing a population of approximately 15 million people in the provinces of Ontario and British Columbia.
Major traumatic injury is another leading condition impacting morbidity and mortality in Canada, with approximately 13 000 deaths per year. These trauma patients benefit from timely interventions and rapid transport to trauma hospitals. However, response within Canada varies greatly across rural and urban areas, and emergency services with differing care models. By monitoring and understanding how emergency responders assess, prioritize, and treat trauma patients, we hope to improve survival across the country and target critical areas for improvement and future studies.
The CanROC Trauma Committee is currently finalizing criteria for the severity of trauma patients to be included in the registry. CanROC sites will begin collecting data in early 2017.
Info coming soon...