2012年5月29日火曜日

院内心停止蘇生後の生存率予測:CASPRIスコア

 A Validated Prediction Tool for Initial Survivors of In-Hospital Cardiac Arrest ONLINE FIRST
Paul S. Chan,et. al.
the Guidelines–Resuscitation Registry Investigators
Arch Intern Med. 2012;():1-7.

院内心停止後の神経学的生存率の正確な推定は、医師、患者・家族へのクリティカルな情報伝達に役立つ。

551病院42957名(2000年1月から2009年10月)の院内心停止蘇生成功例の検討


CASPRI(Cardiac Arrest Survival Postresuscitation In-hospital)スコア


 . The Cardiac Arrest Survival Postresuscitation In-hospital (CASPRI) score card and nomogram for favorable neurological survival. For this in-hospital cardiac arrest risk score, points for each variable are determined, and a summary score is obtained. The corresponding likelihood of surviving to hospital discharge without severe neurological disability is determined from the risk table or plot. CPC indicates cerebral performance score; VF/VT, ventricular fibrillation or ventricular tachycardia.


Figure 1. Comparison of predicted vs observed outcome rate for the validation cohort. Each data point represents a decile of risk for the outcome of favorable neurological survival to discharge. CASPRI indicates Cardiac Arrest Survival Postresuscitation In-hospital.

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