Evidence map›Paper›PMID 42445346›Full record

ArticleEmergency medicine international2026

Validation of the UB-ROSC Score for Predicting OHCA Survival in Chiayi City, Taiwan.

Wei Ta Chang, Chung Chyi Chou, Chia-Chou Tsai

Abstract read
In one paragraph

Article in Emergency medicine international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Wei Ta ChangDepartment of Environmental and Safety Engineering, Da-Yeh University, Changhua, 510, Taiwan, dyu.edu.tw.ORCID https://orcid.org/0000-0002-9194-7245
Chung Chyi ChouDepartment of Environmental and Safety Engineering, Da-Yeh University, Changhua, 510, Taiwan, dyu.edu.tw.ORCID https://orcid.org/0000-0002-8559-4041
Chia-Chou TsaiDepartment of Environmental and Safety Engineering, Da-Yeh University, Changhua, 510, Taiwan, dyu.edu.tw.ORCID https://orcid.org/0009-0001-4029-714X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Out-of-hospital cardiac arrest (OHCA) is a critical public health issue, with survival rates varying widely due to multiple well-established factors, including emergency medical service (EMS) system structure, bystander response, initial cardiac rhythm, and patient-level characteristics. This study evaluates the Utstein-Based Return of Spontaneous Circulation (UB-ROSC) score's performance in predicting sustained Return of Spontaneous Circulation (ROSC > 2 h) in a midsized Asian city where EMS delivery is standardized and geographic variation in access is minimal. A total of 209 OHCA cases from Chiayi City in 2024 were analyzed, using Utstein-aligned data to compute UB-ROSC scores. Predictive performance was assessed via receiver operating characteristic (ROC) curves, calibration intercept and slope, the Hosmer-Lemeshow goodness-of-fit test, and bootstrap internal validation, focusing on sustained return of spontaneous circulation (ROSC) (> 2 h). After excluding pediatric and traumatic cases, 209 cases were analyzed. The cohort was 60.3% male, with 47.8% witnessed arrests and 67.0% receiving bystander CPR. The UB-ROSC score demonstrated fair discrimination, with an area under the ROC curve (AUC) of 0.78 (95% confidence interval [CI]: 0.70-0.85), stable on bootstrap and cross-validation. The calibration slope was 0.90 (95% CI: 0.62-1.18) but the calibration intercept was +0.71 (95% CI: 0.36-1.05), and the Hosmer-Lemeshow test was significant (

Indexed as

calibrationEMS systemexternal validationOHCAROSCUB-ROSC score

Identifiers

PMID42445346
PMCPMC13359025

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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.