Comparison of return of spontaneous circulation prediction scores in patients with cardiac arrest during ambulance transport

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dc.authorid0000-0002-8509-0660
dc.authorid0000-0003-4839-8110
dc.authorid0000-0001-8166-659X
dc.contributor.authorSuzer, Neslihan Ergun
dc.contributor.authorUmac, Gulbin Aydogdu
dc.contributor.authorAlpar, Suleyman
dc.contributor.authorYilmaz, Sarper
dc.date.accessioned2026-01-31T15:08:46Z
dc.date.available2026-01-31T15:08:46Z
dc.date.issued2025
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractBackground Cardiac arrest during ambulance transport is a complex situation that has features of both in-hospital cardiac arrest (IHCA) and out-of-hospital cardiac arrest (OHCA) but lacks a clear classification. This study aimed to evaluate the diagnostic performance of prehospital and in-hospital ROSC prediction tools in patients experiencing cardiac arrest during ambulance transport. Methods A retrospective study was conducted with patients experiencing cardiac arrest during transport. Demographic, clinical, and treatment data were collected, including pre-arrest consciousness, arrest rhythm, and cardiopulmonary resuscitation duration. Four ROSC prediction scores (Prehospital-ROSC, the ROSC after cardiac arrest, Utstein-Based ROSC, and The Cardiac Arrest Survival Post-Resuscitation In-Hospital scores) were used to assess the patients. The AUROCs of the scores were compared to evaluate their diagnostic accuracy. Results Patients were categorized into two groups based on ROSC: No-ROSC (n = 248, 75.2%) and ROSC (n = 82, 24.8%). The ROSC group had significantly more shockable rhythms (81.7% vs. 22.2%, p < 0.001) and a higher proportion of cardiac etiology (p = 0.015) compared to the No-ROSC group. The time for the ambulance to reach the patient did not significantly differ between groups (p = 0.140), but the time spent in the ambulance before arrest was significantly shorter in the ROSC group (p = 0.026). The prehospital-ROSC score had the highest diagnostic performance (AUROC 0.791), followed by The ROSC after cardiac arrest score (0.754) and The Utstein-Based ROSC score (0.716). The Cardiac Arrest Survival Post-Resuscitation In-Hospital score had the lowest performance (0.658). Prehospital-ROSC score outperformed the Utstein-Based ROSC score (p = 0.005), and the Cardiac Arrest Survival Post-Resuscitation In-Hospital score was significantly lower than both ROSC after cardiac arrest score (p = 0.031) and the prehospital-ROSC score (p < 0.001). Conclusion Prehospital-ROSC score was the most accurate predictor of ROSC in patients experiencing cardiac arrest during ambulance transport, while the Cardiac Arrest Survival Post-Resuscitation In-Hospital score demonstrated lower predictive accuracy.
dc.identifier.doi10.1186/s12873-025-01265-1
dc.identifier.issn1471-227X
dc.identifier.issue1
dc.identifier.pmid40596889
dc.identifier.scopus2-s2.0-105009734916
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org./10.1186/s12873-025-01265-1
dc.identifier.urihttps://hdl.handle.net/20.500.12662/10752
dc.identifier.volume25
dc.identifier.wosWOS:001520947800007
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBmc
dc.relation.ispartofBmc Emergency Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260128
dc.subjectOut-of-hospital cardiac arrest
dc.subjectCardiac arrest prediction models
dc.subjectReturn of spontaneous circulation
dc.subjectEmergency medical services
dc.titleComparison of return of spontaneous circulation prediction scores in patients with cardiac arrest during ambulance transport
dc.typeArticle

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