PURPOSE OF THE STUDY: Out-of-hospital @entity1167 (OHCA) has a poor prognosis despite bystander resuscitation and rapid transfer to hospital. Optimal management of @entity1 after arrival to hospital continues to be contentious, especially the timing of emergency coronary angiography  revascularisation. Robust predictors of inhospital outcome would be of clinical value for initial decision-making. STUDY DESIGN: A retrospective analysis of consecutive @entity1 who presented to a university hospital following OHCA over a 70-month period (2008-2013). @entity1 were identified from the emergency department electronic @entity1 registration and coding system. For those @entity1 who underwent emergency percutaneous coronary intervention, details were crosschecked with national databases. RESULTS: We identified 350 consecutive @entity1 who were brought to our hospital following OHCA. Return of spontaneous circulation (ROSC) for >20   min was achieved either before arrival or inhospital in 196 individuals. From the 350 subjects, 114 (32.6%) survived to hospital discharge. When sustained ROSC was achieved, either before or inhospital, survival to discharge was 58.2% (114 of 196). Non-shockable rhythm, absence of bystander cardiopulmonary resuscitation, 'downtime' >15   min and initial pH  <=7.11 were predictors of @entity204 . 12% @entity1 who underwent angiography in the presence of ST elevation had no acute @entity1563 . 21% @entity1 with acute @entity1563 at angiography did not have ST elevation. CONCLUSIONS: In our cohort of @entity1 with OHCA, those who achieve ROSC had a survival-to-discharge rate of 58.2%. We identified four predictors of @entity204 , which are readily available at the time of @entity1 presentation. Reliance on ST elevation to decide about coronary angiography and revascularisation may be flawed. More data are required.

Predictors of inhospital mortality following out-of-hospital XXXX : Insights from a single-centre consecutive case series.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1563 :: ('MESH:D054059', 'Disease') :: ['coronary occlusion'] @entity204 :: ('MESH:D003643', 'Disease') :: ['inhospital death'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
