Ebell et al used classification and regression tree (CART) analysis to evaluate patients after in-hospital cardiopulmonary arrest. One model reported was supervised. The authors are from the University of Georgia, Duke University, and the Johns Hopkins University.
Patient selection: in-hospital cardiopulmonary arrest
Outcome: survival to discharge with good or fair neurological status (CPC 1)
High probability of survival: 17-40%
Average probability of survival: 10-15%
Low probability of survival: 5-7%
Very low probability of survival: 1-3%
Parameters:
(1) Cerebral Performance Category (CPC) from 1 to 5
(2) admitted from home or transferred from another hospital
(3) mechanical ventilation
(4) age
(5) sepsis
(6) acute stroke
(7) hepatic insufficiency/failure
(8) renal insufficiency/failure
Good cerebral function (CPC 1)
Sepsis |
Mechanical Ventilation |
Renal Insufficiency |
Survival |
No |
NA |
NA |
21.2% |
Yes |
No |
NA |
14.8% |
Yes |
Yes |
Yes |
3.7% |
Yes |
Yes |
No |
7.9% |
Impaired cerebral function (CPC 2)
Admitted |
Mech Vent |
Sepsis |
Stroke |
Hepatic Failure |
Age |
Survival |
No |
NA |
NA |
NA |
NA |
NA |
2.3% |
Yes |
No |
NA |
NA |
NA |
NA |
10.3% |
Yes |
Yes |
Yes |
NA |
NA |
NA |
3.9% |
Yes |
Yes |
No |
Yes |
NA |
NA |
1% |
Yes |
Yes |
No |
No |
Yes |
NA |
6% |
Yes |
Yes |
No |
No |
No |
>=32 |
6.5% |
Yes |
Yes |
No |
No |
No |
< 32 |
4.4% |
Impaired cerebral function (CPC 3-5)
Admitted from |
Age |
Renal Insufficiency |
Survival |
No |
NA |
NA |
2.3% |
Yes |
>=74 |
NA |
1% |
Yes |
< 74 |
Yes |
2% |
Yes |
< 74 |
No |
3.9% |
Specialty: Cardiology