MIRACLE

out-of-hospital cardiac arrest resuscitation risk scores

Journal

JACC. Cardiovascular interventions
ISSN: 1876-7605
Titre abrégé: JACC Cardiovasc Interv
Pays: United States
ID NLM: 101467004

Informations de publication

Date de publication:
09 Oct 2023
Historique:
received: 07 03 2023
revised: 01 08 2023
accepted: 07 08 2023
pubmed: 23 8 2023
medline: 23 8 2023
entrez: 23 8 2023
Statut: ppublish

Résumé

The MIRACLE This study sought to compare the discrimination performance of the MIRACLE We used the EUCAR (European Cardiac Arrest Registry), a retrospective cohort from 6 centers (May 2012-September 2022). The primary outcome was poor neurologic outcome on hospital discharge (cerebral performance category 3-5). A total of 1,259 patients (total downtime = 25 minutes; IQR: 15-36 minutes) were included in the study. Poor outcome occurred in 41.8% with downtime <30 minutes and in 79.3% for those with downtime >30 minutes. In a multivariable logistic regression analysis, MIRACLE The MIRACLE

Sections du résumé

BACKGROUND BACKGROUND
The MIRACLE
OBJECTIVES OBJECTIVE
This study sought to compare the discrimination performance of the MIRACLE
METHODS METHODS
We used the EUCAR (European Cardiac Arrest Registry), a retrospective cohort from 6 centers (May 2012-September 2022). The primary outcome was poor neurologic outcome on hospital discharge (cerebral performance category 3-5).
RESULTS RESULTS
A total of 1,259 patients (total downtime = 25 minutes; IQR: 15-36 minutes) were included in the study. Poor outcome occurred in 41.8% with downtime <30 minutes and in 79.3% for those with downtime >30 minutes. In a multivariable logistic regression analysis, MIRACLE
CONCLUSIONS CONCLUSIONS
The MIRACLE

Identifiants

pubmed: 37609699
pii: S1936-8798(23)01154-8
doi: 10.1016/j.jcin.2023.08.010
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2439-2450

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2023 American College of Cardiology Foundation. All rights reserved.

Déclaration de conflit d'intérêts

Funding Support and Author Disclosures This work was partly funded by King’s College Hospital R&D grant and was supported by the Department of Health via a National Institute for Health Research Biomedical Research Centre award to Guy’s and St Thomas’ NHS Foundation Trust in partnership with King’s College London and King’s College Hospital NHS Foundation Trust. Dr Shah is supported by the British Heart Foundation. Dr Pareek has received the Margaret Sail Novel Emerging Technology Grant from Heart Research U.K. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Auteurs

Robert Aldous (R)

King's College Hospital NHS Foundation Trust, London, United Kingdom.

Roman Roy (R)

King's College Hospital NHS Foundation Trust, London, United Kingdom.

Antonio Cannata (A)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Muhamad Abdrazak (M)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Shamika Mohanan (S)

Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Nicholas Beckley-Hoelscher (N)

Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Daniel Stahl (D)

Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Ritesh Kanyal (R)

School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Peter Kordis (P)

Centre for Intensive Internal Medicine, University Medical Center, Ljubljana, Slovenia.

Nicholas Sunderland (N)

Bristol Heart Institute, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom.

Aleksandra Parczewska (A)

Department of Cardiology, Medical University of Gdańsk, Gdańsk, Poland.

Ali Kirresh (A)

Royal Free Hospital NHS Foundation Trust, London, United Kingdom.

Joanne Nevett (J)

London Ambulance Service NHS Trust, London, United Kingdom.

Rachael Fothergill (R)

London Ambulance Service NHS Trust, London, United Kingdom.

Ian Webb (I)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Rafal Dworakowski (R)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Narbeh Melikian (N)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Sundeep Kalra (S)

Royal Free Hospital NHS Foundation Trust, London, United Kingdom.

Thomas W Johnson (TW)

Bristol Heart Institute, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom.

Gianfranco Sinagra (G)

Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy.

Serena Rakar (S)

Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy.

Marko Noc (M)

Centre for Intensive Internal Medicine, University Medical Center, Ljubljana, Slovenia.

Sameer Patel (S)

Faculty of Life Science and Medicine, King's College London, London, United Kingdom.

Georg Auzinger (G)

Faculty of Life Science and Medicine, King's College London, London, United Kingdom.

Marcin Gruchala (M)

Department of Cardiology, Medical University of Gdańsk, Gdańsk, Poland.

Ajay M Shah (AM)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Jonathan Byrne (J)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Philip MacCarthy (P)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom.

Nilesh Pareek (N)

King's College Hospital NHS Foundation Trust, London, United Kingdom; School of Cardiovascular and Metabolic Medicine and Sciences, British Heart Foundation Centre of Excellence, King's College London, London, United Kingdom. Electronic address: nileshpareek@nhs.net.

Classifications MeSH