PURPOSE: @entity1457 ( @entity1457 ) influences management of out-of-hospital @entity1167 (OHCA) @entity1 and the decision of circulatory assistance. We performed a study to identify on hospital admission @entity1 at risk for @entity1457 . MATERIALS AND METHODS: This is a single-center study including OHCA @entity1 without obvious extracardiac cause and sustained return of spontaneous circulation, in a retrospective derivation (RC) and prospective validation cohort (PC). Univariate/multivariate logistic regression was used in the RC to determine a score predicting @entity1457 (due to rearrest or persistent @entity1457 despite adequate fluid and @entity5733 treatment). The score was validated in the PC. RESULTS: We included 207 @entity1 in the RC and 96 in the PC. @entity1457 occurred in 59% of RC and 63% of PC @entity1 (P = .70); 35% in both cohorts died of @entity1457 . In multivariate regression, correlates of @entity1457 making up the logistic score were arterial pH (P < .0001) and @entity1457 requiring @entity2661 on admission (P = .0045). In the PC, for a logistic score cut-off of 0.5, sensitivity for @entity1457 was 50%; specificity, 92%. @entity1 with @entity1457 and arterial pH less than or equal to 7.11 had a @entity1457 probability greater than 0.5. CONCLUSION: A logistic score based on arterial pH and @entity1457 requiring @entity2661 on admission can predict @entity1457 in OHCA @entity1 .

Can mortality due to circulatory failure in XXXX @entity1 be predicted on admission? A study in a retrospective derivation cohort validated in a prospective cohort.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5733 :: ('D002395', 'Chemical') :: ['catecholamine'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['Circulatory failure', 'CF', 'CF-related death', 'shock'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity2661 :: ('MESH:D002395', 'Chemical') :: ['catecholamines']
@entity1167 :: (MESH:D006323,Disease) :: ['comatose out-of-hospital cardiac arrest']
