Effectiveness of SAPS III to predict hospital mortality for post-cardiac arrest patients

摘要: Abstract Purpose The mortality for patients admitted to intensive care unit (ICU) after cardiac arrest (CA) remains high despite advances in resuscitation and post-resuscitation care. Simplified Acute Physiology Score (SAPS) III is the only score that can predict hospital within an hour of admission ICU. objective was evaluate performance SAPS post-CA patients. Methods This retrospective single-center observational study included all ICU CA between August 2010 March 2013. calibration (standardized ratio [SMR]) discrimination (area under curve [AUC] receiver operating characteristic [ROC]) were measured. Univariate logistic regression tested relationship death scores III, II, Sequential Organ Failure Assessment (SOFA) Out-of-Hospital Cardiac Arrests (OHCA) score. Independent factors associated with determined. Results One-hundred twenty-four including 97 out-of-hospital included. In-hospital 69%. unable (SMRSAPS III: 1.26) less discriminating than other (AUCSAPSIII: 0.62 [0.51, 0.73] vs. AUCSAPSII: 0.75 [0.66, 0.84], AUCSOFA: 0.72 [0.63, 0.81], AUCOHCA: 0.84 [0.77, 0.91]). An early return spontaneous circulation, initial ventricular arrhythmia a better prognosis. Conclusions did not CA. amount time before specialized CPR, low-flow interval absence appeared be independently these should used