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A clinical decision aid was accurate for predicting survival to hospital discharge after in-hospital cardiac resuscitation

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 QUESTION: How accurate is a clinical decision aid for identifying patients having in-hospital cardiac resuscitation who would survive to hospital discharge?


Analysis of patient records from a large registry of in-hospital resuscitations to validate a previously derived clinical decision aid.


A 550 bed community teaching hospital in Macon, Georgia, USA.


Patients ≥16 years of age who had an in-hospital resuscitation attempt for cardiac arrest with an initial rhythm of either pulseless ventricular tachycardia, ventricular fibrillation, pulseless electrical activity, or asystole. Patients in the emergency department were included only if they had an arrest after they arrived in the department. Patients were excluded if resuscitation was done in the operating room, they received no chest compression, the time to initial chest compression was > 15 minutes, or the information needed by the decision aid was missing.

Description of prediction guide

Patients were …

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  • Sources of funding: Physicians' Services Foundation Arthur Bond Scholarship and Ontario Ministry of Health.

  • For correspondence: Dr C van Walraven, Department of Medicine, University of Ottawa, F-660, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada. Fax +1 613 761 5351.