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Table 1 Model development and updating studies

From: Prognostic models for outcome prediction following in-hospital cardiac arrest using pre-arrest factors: a systematic review, meta-analysis and critical appraisal

Reference (first author, year of publication)

Model

Study population

Predicted outcome

No. of participants (no. with predicted outcome)

Study interval

Source of data

Country of inclusion (no. of centres)

Model development

No. of variables screened (no. In final model)

Model development

Swindell et al. [18]

ABCD-score

Attempted CPR for IHCA in patients > 50 years

Survival to discharge

92.706 (n.r.)

2012–2016

NIS Registry

USA (n.r.)

Selection of variables based on univariate analysis

n.r. (4)

Chan et al. [19]

Benchmark hospital rates for ROSC after IHCA

Attempted CPR for IHCA

Sustained ROSC > 20 min

83.206 (D: 55.601 (40.038), V:27.128 (19.716))

2014–2017

GWTG Registry

USA (335)

Hierarchical logistic regression

24 (10)

Harrison et al. [20]

1. Predicting ROSC following IHCA

Attempted CPR for IHCA

ROSC > 20 min

22.479 (D: 14.688 (6605), V: 7791 (2926))

2011–2013

NCAA Registry

UK (143)

Multilevel logistic regression

7 (7)

2. Predicting survival following IHCA

Attempted CPR for IHCA

Survival to discharge

7 (6)

Ebell et al. [22]#

1. Classification and Regression Trees (CART1)

Attempted CPR for IHCA

Survival to discharge with CPC = 1

52.527 D: 38.092 (3610) V: 14.435 (1720)

2007–2009

GWTG Registry

USA (366)

Classification and regression trees

32 (8)

2. Classification and Regression Trees (CART2)

32 (9)

Ebell et al. [21]

GO-FAR

Attempted CPR for IHCA

Survival to discharge with CPC = 1

51.240: training (44%), testing (22%), validation (34%) (overall 10.4% with outcome)

2007–2009

GWTG Registry

USA (366)

Previous meta-analysis; logistic regression

17 (13)

Chan et al. [23]

Risk-standardized survival after IHCA

Attempted CPR for IHCA

Survival to hospital discharge; risk-standardized survival rates

48.841 (10.290) (D: 32.560 (6844), V:16.281 (3446))

2007–2010

GWTG Registry

USA (356)

Hierarchical logistic regression

26 (9)

Larkin et al. [24]

NRCPR in-hospital mortality prediction model

Attempted CPR for IHCA

In-hospital mortality (or CPC ≥ 3)

49,130 (84.1% with outcome) (D: 33,468 V: 12,754)

2000–2004

NRCPR Registry

USA (366)

Logistic regression with bootstrapping

63 (33)

Danciu et al. [25]

1. Survival after IHCA

Attempted CPR for IHCA

Survival to discharge

219 (33)

2000–2002

Retrospective cohort

USA (1)

Backwards stepwise logistic regression

10 (5)

2. Survival after IHCA

1 month survival

219 (30)

3. Survival after IHCA

3 months survival

219 (25)

Cooper et al. [26]**

Resuscitation Predictor Scoring Scale (RPS Scale)

Attempted CPR for IHCA

24-h survival

1633 (444)

1993–2000

Retrospective cohort

UK (1)

Multiple forward logistic regression

n.r. (3)

Ambery et al. [27]

IHCA 5-score

Attempted CPR for IHCA

Survival to discharge

111 (14)

1998–1999

Retrospective cohort

UK (1)

Previous knowledge

5 (5)

Dodek et al. [28]

Predictors of in-hospital mortality after IHCA

Attempted CPR for IHCA

Probability of death before hospital discharge

D: 197 (145) V:120 (90)

1986–87; 1989–90

Retrospective cohort

Canada (1)

Stepwise logistic regression

31 (8)

Ebell et al. [29]

Artificial neural networks for predicting failure to survive following IHCA

Attempted CPR for IHCA (ward + ICU)

Failure to survive

218 (96)

1989–1991

Retrospective cohort

USA (1)

Artificial neural network

24 (24)

Lawrence et al. [30]

Probability of survival after CPR for IHCA

Attempted CPR for IHCA

Survival to discharge

340 (88)

1987–1989

Retrospective cohort

USA (1)

Stepwise discriminant analysis followed by logistic regression

18 (4)

Marwick et al. [31]**

1. Prognostic survival index at resuscitation attempt

Attempted CPR for IHCA (ward + CCU + ER + OR)

Survival to discharge

710 (92)

1984–1987

Prospective cohort

Australia (1)

Cox multiple regression

8 (4)

2.Prognostic survival index after 10 min

8 (3)

3.Prognostic survival index after resuscitation

8 (5)

George et al. [32]

Pre-Arrest Morbidity Index (PAM)

Attempted closed-chest CPR for IHCA (ward + ICU)

ROSC, survival to discharge, 3-months survival

140 (77, 34, 29)

1985

Prospective cohort

USA (1)

Previous knowledge

n.r. (15)

Burns et al. [33]

Prediction of initial success after CPR for IHCA

Attempted CPR for IHCA (ward + ICU)

ROSC

122 (56)

1985

Retrospective cohort

USA (1)

Significance testing followed by backwards logistic regression

25 (4)

Model updating

Model based on

Hong et al. [34]

GO-FAR + albumin

Attempted CPR for IHCA

Survival to discharge with CPC 1 or 2

863 (127): D 419 (59) and V: 444 (68)

2013–2017

Prospective cohort

Korea (1)

Previous knowledge

14 (14)

GO-FAR

George et al. [35]

GO-FAR 2

Attempted CPR for IHCA (excl. OR)

Survival to discharge with CPC ≤ 2

52.468: training 23.713 (44%) (4768 with outcome), testing 12.240 (22%), validation 16.515 (34%)

2012–2017

GWTG Registry

USA (366)

Previous knowledge; BIC and LASSO analysis

24 (10)

GO-FAR

Piscator et al. [36]

Prediction of outcome for In-Hospital Cardiac Arrest (PIHCA)

Attempted CPR for IHCA

Survival to discharge with CPC ≤ 2

717 (628 after exclusion missing cases) (174)

2013–2014

SCR Registry

Sweden (6)

Previous knowledge; logistic regression

9 (9)

GO-FAR

Dautzenberg et al. [37]*

Modified PAM index (MPI)

n.r. (according to George et al.)

n.r. (according to George et al.)

n.r.

n.r.

n.r.

n.r.

Previous knowledge

n.r. (16)

PAM

Ebell et al. [38]*

Prognosis After Resuscitation (PAR)

n.r. (according to George et al.)

n.r. (according to George et al.)

218 (n.r.)

n.r.

n.r.

n.r.

Previous knowledge

n.r. (8)

PAM

  1. D Derivation, V Validation, n.r. not reported
  2. *Studies do not formally fit the inclusion criteria due to lack of reporting model performance measures. They were nevertheless included as they were validated in external populations. They validated the scores for different end points but no formal process of model development has taken place
  3. **Only age as pre-arrest variable
  4. #Five models are reported to be made but only the best two are presented, performance of all five is reported