Sladjana developed several models for predicting survival after an out-of-hospital cardiopulmonary resuscitation. The author is from Emergency Medical Care in Belgrade, Serbia.
Models:
(1) immediate
(2) short-term
(3) long-term
Parameters:
(1) bystander CPR
(2) shockable rhythm
(3) arrest witnessed
(4) time to start of CPR
(5) primary cardiac arrest mode (primary mode of arrest is cardiac)
(6) age in years
|
Parameter |
Finding |
Points |
|
bystander CPR |
no |
0 |
|
|
yes |
15 |
|
shockable rhythm |
no |
0 |
|
|
yes |
15 |
|
arrest witnessed |
no |
0 |
|
|
yes |
13 |
|
time to CPR |
<= 4 minutes |
10 |
|
|
> 4 minutes |
0 |
|
primary mode of arrest cardiac |
no |
0 |
|
|
yes |
10 |
|
age in years |
< 75 years |
2 |
|
|
>= 75 years |
0 |
immediate score =
= SUM(points for all 6 parameters)
|
Parameter |
Finding |
Points |
|
bystander CPR |
no |
0 |
|
|
yes |
15 |
|
shockable rhythm |
no |
0 |
|
|
yes |
8 |
|
arrest witnessed |
no |
0 |
|
|
yes |
20 |
|
time to CPR |
<= 4 minutes |
12 |
|
|
> 4 minutes |
0 |
|
primary mode of arrest cardiac |
no |
0 |
|
|
yes |
6 |
short-term score =
= SUM(points for all 5 parameters)
|
Parameter |
Finding |
Points |
|
bystander CPR |
no |
0 |
|
|
yes |
12 |
|
shockable rhythm |
no |
0 |
|
|
yes |
9 |
|
arrest witnessed |
no |
0 |
|
|
yes |
16 |
|
time to CPR |
<= 4 minutes |
11 |
|
|
> 4 minutes |
0 |
|
primary mode of arrest cardiac |
no |
0 |
|
|
yes |
5 |
long-term score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum scores: 0
• maximum immediate score: 65
• maximum short-term score: 61
• maximum long-term score: 53
• The higher the score the better the outcome.
• Each point represents 1% survival.
Specialty: Cardiology
ICD-10: ,
