NAlaxone CARdiac Arrest Decision Instruments (NACARDI) in Occult Opioid Overdose with Cardiac Arrest

Description

Rodriguez et al reported the NAlaxone CARdiac Arrest Decision Instruments (NACARDI) for identifying a patient with cardiac arrest precipitated by an occult opioid overdose. They developed a classification and regression tree (CART) model. The authors are form the University of California in San Francisco and the Office of the Medical Examiner for San Francisco.

Patient selection: cardiac arrest

Parameters:

(1) age in years

(2) race

(3) sex

(4) witnessed arrest

Outcome: percent opioid-associated overdose

Prevalence of occult opioid overdose in patients having an out-of-hospital cardiac arrest (OHCA): 10.4%

Age in Years	Race	Sex	Arrest	Percent
>= 60	NA	NA	NA	5%
< 60	not black or white	NA	NA	4.1%
< 60	black or white	male	NA	17.5%
< 60	black or white	female	witnessed	10%
< 60	black or white	female	not witnessed	43.4%

where:

• White refers to non-Latinos.

The likelihood of an occult opioid overdose can help to identify an OHCA patient who should receive naloxone at the scene.

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NAlaxone CARdiac Arrest Decision Instruments (NACARDI) in Occult Opioid Overdose with Cardiac Arrest

Description

Specialty