The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest
Authors' conclusion
The CAHP score represents a simple tool for early stratification of patients admitted in ICU after OHCA. A high-risk category of patients with very poor prognosis can be easily identified.
Study context
- Population
- Patients admitted to intensive care unit (ICU) after out-of-hospital cardiac arrest (OHCA), Sudden Death Expertise Center registry (Paris, France)developmental data set
- Participants
- 819 patients
- Comparison
- Low risk vs Medium risk vs High risk
- Outcome
- Poor neurological outcome (Cerebral Performance Category 3, 4 or 5)
- Follow-up
- Hospital discharge
Methodological detailsregistry-based, prospective and external validation, Developmental data set: admissions May 2011 to December 2012
- Registry-based
- Prospective and external validation
- Developmental data set: admissions May 2011 to December 2012
Performance
As reported in the abstract
Unfavourable outcome by CAHP risk group
- AUC of the CAHP score (development)
- 0.93
Further findings
Discrimination in validation data sets (prospective; external)
- AUC, prospective validation
- 0.91
- AUC, external validation (Parisian Cardiac Arrest Registry)
- 0.85
Original publication
The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest. Eur Heart J. Published 24 October 2015. doi:10. 1093/ eurheartj/ ehv556
Summarised from the published abstract; every number is checked against it