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Table 1 Characteristics of included studies

From: Predicting neurological outcome in adult patients with cardiac arrest: systematic review and meta-analysis of prediction model performance

Author

Year

Study design

Sample size

Inclusion criteria

Exclusion criteria

Time of outcome assessment

Primary outcome

Key secondary outcomes

Comments

OHCA score

Adrie et al. (development cohort)

2006

PCS single-centre

130

OHCA

Age < 18 years

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Adrie et al. (validation cohort)

2006

PCS multicentre

210

OHCA

Age < 18 years

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Hunziker et al

2011

RCS bi-centre

128

OHCA

Age < 18 years; traumatic aetiology

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Skrifvars et al

2012

PCS single-centre

122

OHCA and IHCA

ROSC without chest compressions

Hospital discharge

Mortality

ICU mortality, mortality at 1 month

 

Bisbal et al

2014

RCS single-centre

124

OHCA and IHCA

Age < 18 years; death within 1 h after ROSC

Hospital discharge

Mortality

Poor neurological outcome (CPC > 2) at ICU discharge, 3, 6 and 12 months

Primary aim: Validation of SAPS III score

Sauneuf et al

2016

PCS single-centre

204

OHCA

Age < 18 years; pregnancy; immunosuppression

Hospital discharge

Poor neurological outcome (CPC > 2)

None

Primary aim: Development of MyeloScore

Choi et al

2018

RCS single-centre

173

OHCA treated with TTM

Traumatic aetiology

1 month

Poor neurological outcome (CPC > 2)

None

 

Isenschmid et al

2019

PCS single-centre

349

OHCA and IHCA

Age < 16 years; monitored IHCA

Hospital discharge

Mortality

Poor neurological outcome (CPC > 2) at hospital discharge, mortality at 1 month

 

Chelly et al

2020

RCS multicentre

381

IHCA

Age < 18 years; GCS > 8; monitored IHCA

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Kim et al

2020

RCS single-centre

311

OHCA treated with TTM

None

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Pareek et al. (KOCAR cohort)

2020

PCS multicentre

373

OHCA

Age < 18 years; non-cardiac aetiology; intracranial bleeding; CPC > 2 prior to admission; life-expectancy < 6 months; GCS 15 at admission

6 months

Poor neurological outcome (CPC > 2)

None

Primary aim: Development of MIRACLE2 score

Pareek et al. (Ljubljana cohort)

2020

PCS single-centre

325

OHCA

Age < 18 years; non-cardiac aetiology; intracranial bleeding; CPC > 2 prior to admission; life-expectancy < 6 months; GCS 15 at admission

Hospital discharge

Poor neurological outcome (CPC > 2)

None

Primary aim: Validation of MIRACLE2 score

Pareek et al. (RFH cohort)

2020

PCS single-centre

148

OHCA

Age < 18 years; non-cardiac aetiology; intracranial bleeding; CPC > 2 prior to admission; life-expectancy < 6 months; GCS 15 at admission

6 months

Poor neurological outcome (CPC > 2)

None

Primary aim: Validation of MIRACLE2 score

Bae et al

2021

RCS single-centre

297

OHCA

Age < 18 years; traumatic aetiology; stroke; unwitnessed OHCA; CPC 2 prior to admission

Hospital discharge

Poor neurological outcome (CPC > 2)

None

Primary aim: Development and validation of PROLOGUE score; no WLST allowed unless patients were pronounced brain dead

Pham et al

2021

PCS single-centre

386

OHCA due to ACS treated with PCI

None

Hospital discharge

Mortality

None

 

Shibahashi et al

2021

PCS multicentre

2428

OHCA

Age < 18 years; extrinsic aetiology (trauma, burn, hypothermia, drowning, asphyxiation, intoxication)

1 month

Poor neurological outcome (CPC > 2)

None

Primary aim: Validation of sOHCA and sCAHP scores

Song et al

2021

RCS single-centre

106

OHCA treated with TTM

Age < 18 years; traumatic aetiology; ineligibility for TTM; TTM induced > 6 h after ROSC; failure to maintain target temperature

3 months

Poor neurological outcome (CPC > 2)

None

 

Tsuchida et al

2021

RCS single-centre

189

OHCA

Age < 18 years; transfers from other hospitals

1 month

Poor neurological outcome (CPC > 2)

None

 

CAHP score

Maupain et al. (development cohort)

2016

PCS multicentre

819

OHCA

Extrinsic aetiology (trauma, hypothermia, drowning, asphyxiation, intoxication)

ICU discharge

Poor neurological outcome (CPC > 2)

None

 

Maupain et al. (internal validation cohort)

2016

PCS multicentre

1129

OHCA

Extrinsic aetiology (trauma, hypothermia, drowning, asphyxiation, intoxication)

ICU discharge

Poor neurological outcome (CPC > 2)

None

 

Maupain et al. (external validation cohort)

2016

RCS single-centre

367

OHCA

Extrinsic aetiology (trauma, hypothermia, drowning, asphyxiation, intoxication)

ICU discharge

Poor neurological outcome (CPC > 2)

None

 

Sauneuf et al

2016

PCS single-centre

204

OHCA

Age < 18 years; pregnancy; immunosuppression

Hospital discharge

Poor neurological outcome (CPC > 2)

None

Primary aim: Development of the MyeloScore

Isenschmid et al

2019

PCS single-centre

349

OHCA and IHCA

Age < 16 years; monitored IHCA

Hospital discharge

Mortality

Poor neurological outcome (CPC > 2) at hospital discharge, mortality at 1 month

 

Chelly et al

2020

RCS multicentre

381

IHCA

Age < 18 years; GCS > 8; monitored IHCA

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Kim et al

2020

RCS single-centre

311

OHCA treated with TTM

None

Hospital discharge

Poor neurological outcome (CPC > 2)

None

 

Pareek et al. (KOCAR cohort)

2020

PCS multicentre

373

OHCA

Age < 18 years; non-cardiac aetiology; intracranial bleeding; CPC > 2 prior to admission; life-expectancy < 6 months; GCS 15 at admission

6 months

Poor neurological outcome (CPC > 2)

None

Primary aim: Development of MIRACLE2 score

Pareek et al. (Ljubljana cohort)

2020

PCS single-centre

325

OHCA

Age < 18 years; non-cardiac aetiology; intracranial bleeding; CPC > 2 prior to admission; life-expectancy < 6 months; GCS 15 at admission

Hospital discharge

Poor neurological outcome (CPC > 2)

None

Primary aim: Validation of MIRACLE2 score

Pareek et al. (RFH cohort)

2020

PCS single-centre

148

OHCA

Age < 18 years; non-cardiac aetiology; intracranial bleeding; CPC > 2 prior to admission; life-expectancy < 6 months; GCS 15 at admission

6 months

Poor neurological outcome (CPC > 2)

None

Primary aim: Validation of MIRACLE2 score

Sauneuf et al

2020

RCS multicentre

176

OHCA in patients > 75 years

Non-French speaking patients; traumatic aetiology; conscious patients

Hospital discharge

Poor neurological outcome (CPC > 2)

Poor neurological outcome (CPC > 2) at 6 and 12 months

 

Bae et al

2021

RCS single-centre

297

OHCA

Age < 18 years; traumatic aetiology; stroke; unwitnessed OHCA; CPC > 2 prior to admission

Hospital discharge

Poor neurological outcome (CPC > 2)

None

Primary aim: Development and validation of PROLOGUE score; no WLST allowed unless patients were pronounced brain dead

Pham et al

2021

PCS single-centre

386

OHCA due to ACS treated with PCI

None

Hospital discharge

Mortality

None

 

Shibahashi et al

2021

PCS multicentre

2428

OHCA

Age < 18 years; extrinsic aetiology (trauma, burn, hypothermia, drowning, asphyxiation, intoxication)

1 month

Poor neurological outcome (CPC > 2)

None

Primary aim: Validation of sOHCA and sCAHP scores

Song et al

2021

RCS single-centre

106

OHCA treated with TTM

Age < 18 years; traumatic aetiology; ineligibility for TTM; TTM induced > 6 h after ROSC; failure to maintain target temperature

3 months

Poor neurological outcome (CPC > 2)

None

 

Tsuchida et al

2021

RCS single-centre

189

OHCA

Age < 18 years; transfers from other hospitals

1 month

Poor neurological outcome (CPC > 2)

None

 

Vedamurthy et al

2021

RCS single-centre

158

OHCA

Extrinsic aetiology (trauma, asphyxiation, pulmonary embolism, exacerbated chronic lung disease)

Hospital discharge

Mortality

Poor neurological outcome (CPC > 2) at hospital discharge

 

GO-FAR score

Ebell et al. (development and internal validation cohort)

2013

PCS multicentre

51,240

IHCA

None

Hospital discharge

Good neurological outcome (CPC = 1)

None

Cohort randomly divided into development, training and test data sets

Ohlsson et al

2016

RCS single-centre

287

IHCA

Age < 18 years

Hospital discharge

Good neurological outcome (CPC = 1)

Mortality

 

Piscator et al

2018

RCS multicentre

717

IHCA

Age < 18 years

Hospital discharge

Good neurological outcome (CPC = 1)

None

 

Rubins et al

2019

RCS single-centre

403

IHCA

Age < 18 years

Hospital discharge

Good neurological outcome (CPC = 1)

Mortality

 

Thai et al

2019

PCS multicentre

62,131

IHCA

Age < 18 years

Hospital discharge

Good neurological outcome (CPC = 1)

None

 

Cho et al

2020

RCS single-centre

1011

IHCA

Age < 18 years; major trauma

Hospital discharge

Good neurological outcome (CPC < 3)

Good neurological outcome (CPC = 1)

 

Aldabagh et al

2021

RCS single-centre

884

IHCA

Age < 18 years; transfers from other hospitals; patients who changed their status to do-not-resuscitate after survived IHCA

Hospital discharge

Mortality

None

Included 60.2% COVID-19 patients

  1. ACS Acute coronary syndrome; CAHP Cardiac Arrest Hospital Prognosis; COVID-19 Coronavirus disease 2019; CPC Cerebral Performance Category; GCS Glasgow Coma Scale; GO-FAR Good Outcome Following Attempted Resuscitation; ICU Intensive care unit; IHCA In-hospital cardiac arrest; KOCAR King’s Out-of-Hospital Cardiac Arrest Registry; OHCA Out-of-hospital cardiac arrest; PCI Percutaneous coronary intervention; PCS Prospective cohort study; RCS Retrospective cohort study; RFH Royal Free Hospital London; ROSC Return of spontaneous circulation; TTM Targeted temperature management; WLST Withdrawal of life-sustaining therapy