The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest

Eur Heart JPublished Prognostic score development and validation study

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

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