ArticleArchives of academic emergency medicine2023
Sustained Return of Spontaneous Circulation Following Out-of-Hospital Cardiac Arrest; Developing a Predictive Model Based on Multivariate Analysis.
Article in Archives of academic emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 6 citations in OpenAlex.
- The association of prehospital advanced airway management time and outcome in out-of hospital cardiac arrest patients.Scientific reports · 2026Article
- Construction of a Mortality Prediction Model for Cardiac Arrest Patients Using Lactate Clearance Rate and Albumin-Corrected Anion Gap.Emergency medicine international · 2026Article
- Functional Outcome and Independence Among In-Hospital Cardiac Arrest Patients in South India: A Prospective Longitudinal Study.Nursing research and practice · 2026Article
- Blood glucose upon return of spontaneous circulation and neurological outcomes following out-of-hospital cardiac arrest.Resuscitation plus · 2025Article
- The Effects of Using Prehospital Calcium Gluconate During Cardiopulmonary Resuscitation: A Retrospective Study.Archives of academic emergency medicine · 2025Article
- P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort.Archives of academic emergency medicine · 2025Article
- Article
- A Look at Archives of Academic Emergency Medicine Journal in 2023.Archives of academic emergency medicine · 2024Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Identifying the predictive factors of sustained return of spontaneous circulation (ROSC) following out-of-hospital cardiac arrest (OHCA) will be helpful in management of these patients. This study aimed to develop a predictive model in this regard. Methods: In a retrospective observational study, data of adult patients with OHCA, were collected from Vajira emergency medical services patient care report. Multiple logistic regression analysis with a regression coefficient was used to develop a predictive score for a sustained ROSC at the scene. Area under the receiver operating characteristic (ROC) curve (AUC) was used to validate the accuracy of the predictive score for a sustained ROSC. Results: Independent factors associated with a sustained ROSC included cardiopulmonary resuscitation (CPR) duration < 30 min (adjusted odds ratio (AOR)= 5.05, 95% confidence interval (CI): 3.34-7.65; p < 0.001); advanced airway management with an endotracheal tube (AOR= 3.06, 95% CI: 1.77-5.31; p < 0.001); advanced airway management with laryngeal mask airway (AOR= 3.42, 95% CI: 1.02-11.46; p = 0.046); defibrillation (AOR = 2.05, 95% CI: 1.31-3.2; p = 0.002); Capillary blood glucose (CBG) level < 150 mg% (AOR= 1.95, 95% CI: 1.05-3.65; p = 0.035); CBG at least 150 mg% (AOR= 2.87, 95% CI: 1.56-5.29; p = 0.001); pupil reflex (AOR = 2.96, 95% CI: 1.1-7.96; p = 0.032); and response time at most 8 min (AOR= 1.66, 95% CI: 1.07-2.57; p = 0.023). These were developed into the pupil reflex, response time, advanced airway management, defibrillation, CBG, and CPR duration (PRAD-CCPR) score. The most accurate cutoff point of score using Youden's index was ≥ 6 with AUC of 0.759 (95% CI: 0.715-0.802; p < 0.001), sensitivity of 62.0% (95% CI: 51.2-71.9%), specificity of 75.7% (95% CI: 69.4-81.2%), positive predictive value of 51.8% (95% CI: 40.9-62.3%), and negative predictive value of 79.5% (95% CI: 73.5-84.6%). Conclusion: An optimal PRAD-CCPR score of ≥ 6 provides an acceptable accuracy of 0.759 with sensitivity of 62.0% and specificity of 75.7% in prediction of sustained ROSC following OHCA. This predictive score might help CPR commanders to prognosticate the outcome of patients with OHCA at the scene.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.