Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest

Background: This study was conducted to identify the predictive factors for survival and favorable neurological outcome in patients with emergency department cardiac arrest (EDCA). Methods: ED patients who suffered from in-hospital cardiac arrest (IHCA) from July 2014 to June 2019 were enrolled. The...

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Autores principales:	Jeffrey Che-Hung Tsai, Jen-Wen Ma, Shih-Chia Liu, Tzu-Chieh Lin, Sung-Yuan Hu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	in-hospital cardiac arrest emergency department survival neurological outcome coronary angiography coronary reperfusion Medicine R
Acceso en línea:	https://doaj.org/article/291a711e7c5146ee86787881e264b24e
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spelling	oai:doaj.org-article:291a711e7c5146ee86787881e264b24e2021-11-11T17:44:59ZCardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest10.3390/jcm102151312077-0383https://doaj.org/article/291a711e7c5146ee86787881e264b24e2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5131https://doaj.org/toc/2077-0383Background: This study was conducted to identify the predictive factors for survival and favorable neurological outcome in patients with emergency department cardiac arrest (EDCA). Methods: ED patients who suffered from in-hospital cardiac arrest (IHCA) from July 2014 to June 2019 were enrolled. The electronic medical records were retrieved and data were extracted according to the IHCA Utstein-style guidelines. Results: The cardiac arrest survival post-resuscitation in-hospital (CASPRI) score was associated with survival, and the CASPRI scores were lower in the survival group. Three components of the CASPRI score were associated with favorable neurological survival, and the CASPRI scores were lower in the favorable neurological survival group of patients who were successfully resuscitated. The independent predictors of survival were presence of hypotension/shock, metabolic illnesses, short resuscitation time, receiving coronary angiography, and TTM. Receiving coronary angiography and low CASPRI score independently predicted favorable neurological survival in resuscitated patients. The performance of a low CASPRI score for predicting favorable neurological survival was fair, with an AUROCC of 0.77. Conclusions: The CASPRI score can be used to predict survival and neurological status of patients with EDCA. Post-cardiac arrest care may be beneficial for IHCA, especially in patients with EDCA.Jeffrey Che-Hung TsaiJen-Wen MaShih-Chia LiuTzu-Chieh LinSung-Yuan HuMDPI AGarticlein-hospital cardiac arrestemergency departmentsurvivalneurological outcomecoronary angiographycoronary reperfusionMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5131, p 5131 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	in-hospital cardiac arrest emergency department survival neurological outcome coronary angiography coronary reperfusion Medicine R
spellingShingle	in-hospital cardiac arrest emergency department survival neurological outcome coronary angiography coronary reperfusion Medicine R Jeffrey Che-Hung Tsai Jen-Wen Ma Shih-Chia Liu Tzu-Chieh Lin Sung-Yuan Hu Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest
description	Background: This study was conducted to identify the predictive factors for survival and favorable neurological outcome in patients with emergency department cardiac arrest (EDCA). Methods: ED patients who suffered from in-hospital cardiac arrest (IHCA) from July 2014 to June 2019 were enrolled. The electronic medical records were retrieved and data were extracted according to the IHCA Utstein-style guidelines. Results: The cardiac arrest survival post-resuscitation in-hospital (CASPRI) score was associated with survival, and the CASPRI scores were lower in the survival group. Three components of the CASPRI score were associated with favorable neurological survival, and the CASPRI scores were lower in the favorable neurological survival group of patients who were successfully resuscitated. The independent predictors of survival were presence of hypotension/shock, metabolic illnesses, short resuscitation time, receiving coronary angiography, and TTM. Receiving coronary angiography and low CASPRI score independently predicted favorable neurological survival in resuscitated patients. The performance of a low CASPRI score for predicting favorable neurological survival was fair, with an AUROCC of 0.77. Conclusions: The CASPRI score can be used to predict survival and neurological status of patients with EDCA. Post-cardiac arrest care may be beneficial for IHCA, especially in patients with EDCA.
format	article
author	Jeffrey Che-Hung Tsai Jen-Wen Ma Shih-Chia Liu Tzu-Chieh Lin Sung-Yuan Hu
author_facet	Jeffrey Che-Hung Tsai Jen-Wen Ma Shih-Chia Liu Tzu-Chieh Lin Sung-Yuan Hu
author_sort	Jeffrey Che-Hung Tsai
title	Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest
title_short	Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest
title_full	Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest
title_fullStr	Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest
title_full_unstemmed	Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest
title_sort	cardiac arrest survival postresuscitation in-hospital (caspri) score predicts neurological favorable survival in emergency department cardiac arrest
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/291a711e7c5146ee86787881e264b24e
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Cardiac Arrest Survival Postresuscitation In-Hospital (CASPRI) Score Predicts Neurological Favorable Survival in Emergency Department Cardiac Arrest

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