Acute cardiac care & resuscitation
Prehospital Prognostication after Out-of-Hospital Cardiac Arrest in Tertiary Care Centers: The R-EDByUS Score in the JAAM-OHCA Registry
Authors' conclusion
The R-EDByUS score showed good discrimination in the JAAM-OHCA Registry, supporting its use for early risk stratification in cardiogenic OHCA even in tertiary care centers.
Study context
- Population
- Adult patients with presumed cardiogenic out-of-hospital cardiac arrest (OHCA) transported to tertiary care centersprehospital return of spontaneous circulation (ROSC) cohort 3,305 · ongoing cardiopulmonary resuscitation (CPR) cohort 26,040
- Participants
- 29,345 patients
- Comparison
- R-EDByUS score predicting unfavorable neurological outcome at 1 month
- prehospital ROSC cohortn = 3,305
- ongoing CPR cohortn = 26,040
Methodological detailsregression-based score, JAAM-OHCA Registry
- Regression-based score
- JAAM-OHCA Registry
Performance
As reported in the abstract
Discrimination (areas under the curve) · 1 month
Areas under the curve
0.906 and 0.913
Further findings
Unfavorable outcomes among patients with a predicted probability ≥99%
Discrimination by in-hospital intervention subgroup (ongoing CPR cohort)
- Discrimination was lower among patients who received PCI, TTM, or ECMO in the ongoing CPR cohort
Original publication
Prehospital Prognostication after Out-of-Hospital Cardiac Arrest in Tertiary Care Centers: The R-EDByUS Score in the JAAM-OHCA Registry. Resuscitation. Published 6 October 2026. doi:10. 1016/ j. resuscitation. 2026. 111341
Summarised from the published abstract; every number is checked against it