Validation of a decision support tool for the evaluation of cardiac arrest victims

Abstract

SummaryBtrckground: There is currently no well-accepted model for early and accurate prediction of neurologic and vital outcomes after cardiac arrest. Recent studies indicate that individuals with acute myocardial ischemia as the etiology for the wrest may benefit from early revascularization.Hypothesis: This study was undertaken to examine whether the cardiac arrest score is valid for predicting outcomes upon anival at the emergency department.Morhods: We previously developed ii cardiac arrest score based on time to return of spontaneous circulation, initial systolic blood pressure, and level of neurologic alertness in 127 patients (derivation set). This score was prospectively applied to 61 patients with similar clinical profiles (validation set). Utility of the score was evaluated by the area under the receiver operator characteristic curves (C) for both sets. Consistency was measured by using the alpha statistic applied to the cumulative survival at each ascending level of the score.Rt~srrlts: The derivation and validation sets were similar with respect to baseline characteristics and proportions at each level of score.

European Resuscitation Council Guidelines for Resuscitation 2015

“…[259][260][261][262][263][264][265][266][267] Termination of resuscitation rules for in-hospital cardiac arrest are less reliable although EMS rules may be useful for those with out-of-hospital cardiac arrest who have ongoing resuscitation in the emergency department. [268][269][270][271] Prospectively validated termination of resuscitation rules can be used to guide termination of prehospital CPR in adults; however, these must be validated in an EMS system similar to the one in which implementation is proposed. Termination of resuscitation rules may require integration with guidance on suitability for extracorporeal CPR (eCPR) or organ donation.…”

Part 12: Education, Implementation, and Teams

“…Two in-hospital studies (LOE P1 619 ; LOE P2 620 ) and 1 emergency department (ED) study (LOE P2) 621 showed that the reliability of termination of resuscitation rules is limited in these settings.…”

Part 12: Education, implementation, and teams

“…Two in-hospital studies (LOE P1 619 ; LOE P2 620 ) and one emergency department (ED) study (LOE P2) 621 showed that the reliability of termination of resuscitation rules is limited in these settings.…”