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How do information sources influence the reported Cerebral Performance Category (CPC) for in-hospital cardiac arrest survivors? An observational study from the UK National Cardiac Arrest Audit (NCAA).
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Reynolds, Emily C., Zenasni, Zohra, Harrison, David A., Rowan, Kathryn M., Nolan, Jerry P. and Soar, Jasmeet (2019) How do information sources influence the reported Cerebral Performance Category (CPC) for in-hospital cardiac arrest survivors? An observational study from the UK National Cardiac Arrest Audit (NCAA). Resuscitation, 141 . pp. 19-23. doi:10.1016/j.resuscitation.2019.05.035 ISSN 0300-9572.
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WRAP-how-information-CPC-hospital-survivors-study-Nolan-2019.pdf - Accepted Version - Requires a PDF viewer. Download (745Kb) | Preview |
Official URL: https://doi.org/10.1016/j.resuscitation.2019.05.03...
Abstract
Aim
Cerebral Performance Category (CPC) can be used to categorise neurological outcome after cardiac arrest. There is no consensus on what information sources can be used to derive the CPC. This study describes the information sources used by hospitals participating in the UK National Cardiac Arrest Audit (NCAA) and their impact on the CPC reported for individuals surviving an in-hospital cardiac arrest (IHCA).
Methods
Data on the CPCs and on the information source used to assess the CPC (either case note review, communication with clinical team or direct patient assessment) were abstracted for individual adult patients who survived to discharge following an IHCA in an acute hospital participating in NCAA between 1 May 2014 and 30 April 2016.
Results
Data for 33,114 IHCAs (in 31,783 patients) from 195 hospitals were reported to NCAA, of whom 6093 (18.4%) survived to hospital discharge. Of these hospital survivors, 5492 (90.1%) had both the CPC and information source reported: case note review (3989 patients, 72.6%), communication with the clinical team (1053 patients, 19.2%); and direct patient assessment (450 patients, 8.2%). Most (96.6%) survivors were reported to have had a good neurological outcome (CPC 1 or 2). There were small differences in the CPC reported derived from the different information sources but these differences were not clinically important.
Conclusion
In the UK IHCA audit, the most commonly used information source for CPC assessment is case notes. Most survivors of IHCA are reported as having a CPC score of 1 or a good outcome (CPC scores 1 or 2).
| Item Type: | Journal Article | |||||||||
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| Subjects: | R Medicine > RC Internal medicine | |||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| SWORD Depositor: | Library Publications Router | |||||||||
| Library of Congress Subject Headings (LCSH): | Cardiac resuscitation, Cardiac arrest -- Treatment -- Evaluation | |||||||||
| Journal or Publication Title: | Resuscitation | |||||||||
| Publisher: | Elsevier Ireland Ltd | |||||||||
| ISSN: | 0300-9572 | |||||||||
| Official Date: | August 2019 | |||||||||
| Dates: |
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| Volume: | 141 | |||||||||
| Page Range: | pp. 19-23 | |||||||||
| DOI: | 10.1016/j.resuscitation.2019.05.035 | |||||||||
| Status: | Peer Reviewed | |||||||||
| Publication Status: | Published | |||||||||
| Access rights to Published version: | Restricted or Subscription Access | |||||||||
| Date of first compliant deposit: | 6 December 2019 | |||||||||
| Date of first compliant Open Access: | 12 June 2020 | |||||||||
| RIOXX Funder/Project Grant: |
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