Validation of the return of spontaneous circulation after cardiac arrest (RACA) score in two different national territories.


Journal

Resuscitation
ISSN: 1873-1570
Titre abrégé: Resuscitation
Pays: Ireland
ID NLM: 0332173

Informations de publication

Date de publication:
01 2019
Historique:
received: 15 07 2018
revised: 08 11 2018
accepted: 12 11 2018
pubmed: 18 11 2018
medline: 10 3 2020
entrez: 18 11 2018
Statut: ppublish

Résumé

The likelihood of return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA) is influenced by unmodifiable (gender, aetiology, location, the presence of witnesses and initial rhythm) and modifiable factors (bystander CPR and the time to EMS arrival). All of these have been included in the ROSC After Cardiac Arrest (RACA) score. To test the ability of the RACA score to predict the probability of ROSC in two different regions with different local resuscitation networks: the Swiss Canton Ticino and the Italian Province of Pavia. All OHCAs occurred between January 1 The application of the RACA score reliably assess the probability to obtain the ROSC, with equal effectiveness in the two regions, despite different organization of the resuscitation network. Patients with a RACA score >0.42 had more than 50% probability to obtain ROSC.

Sections du résumé

BACKGROUND
The likelihood of return of spontaneous circulation (ROSC) after out-of-hospital cardiac arrest (OHCA) is influenced by unmodifiable (gender, aetiology, location, the presence of witnesses and initial rhythm) and modifiable factors (bystander CPR and the time to EMS arrival). All of these have been included in the ROSC After Cardiac Arrest (RACA) score.
PURPOSE
To test the ability of the RACA score to predict the probability of ROSC in two different regions with different local resuscitation networks: the Swiss Canton Ticino and the Italian Province of Pavia.
METHODS AND RESULTS
All OHCAs occurred between January 1
CONCLUSIONS
The application of the RACA score reliably assess the probability to obtain the ROSC, with equal effectiveness in the two regions, despite different organization of the resuscitation network. Patients with a RACA score >0.42 had more than 50% probability to obtain ROSC.

Identifiants

pubmed: 30447262
pii: S0300-9572(18)31091-8
doi: 10.1016/j.resuscitation.2018.11.012
pii:
doi:

Types de publication

Comparative Study Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

62-68

Informations de copyright

Copyright © 2018 Elsevier B.V. All rights reserved.

Auteurs

Maria Luce Caputo (ML)

Department of Molecular Medicine, University of Pavia, Coronary Care Unit and Cardiovascular Clinical Research Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Cardiocentro Ticino, Lugano, Switzerland. Electronic address: marialuce.caputo@cardiocentro.org.

Enrico Baldi (E)

Department of Molecular Medicine, University of Pavia, Coronary Care Unit and Cardiovascular Clinical Research Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Simone Savastano (S)

Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Roman Burkart (R)

Fondazione Ticino Cuore, Breganzona, Switzerland.

Claudio Benvenuti (C)

Fondazione Ticino Cuore, Breganzona, Switzerland.

Catherine Klersy (C)

Service of Biometry and Clinical Epidemiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Roberto Cianella (R)

Federazione Cantonale Ticinese Servizi Autoambulanze, Lugano, Switzerland.

Luciano Anselmi (L)

Federazione Cantonale Ticinese Servizi Autoambulanze, Lugano, Switzerland.

Tiziano Moccetti (T)

Cardiocentro Ticino, Lugano, Switzerland.

Romano Mauri (R)

Fondazione Ticino Cuore, Breganzona, Switzerland.

Gaetano M De Ferrari (GM)

Department of Molecular Medicine, University of Pavia, Coronary Care Unit and Cardiovascular Clinical Research Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Angelo Auricchio (A)

Cardiocentro Ticino, Lugano, Switzerland.

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