This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (61)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Predicting Survival From Out-of-Hospital Cardiac Arrest

Mickey Eisenberg, MD, PhD; Alfred Hallstrom, PhD; Lawrence Bergner, MD, MPH

JAMA. 1981;246(1):50-52.

Abstract
We developed a score predictive of survival following out-of-hospital cardiac arrest from an analysis of factors associated with 611 cases. The score is calculated from four pieces of information readily obtainable by emergency personnel directly at the scene. The four items are as follows: A, arrest witnessed; C, cardiac rhythm; L, lay bystander cardiopulmonary resuscitation (CPR); S, speed (response time of paramedic unit). Among 22 patients with favorable findings on all four predictive variables (witnessed arrest, ventricular fibrillation, bystander CPR, paramedic response time less than four minutes), 15 (70%) were discharged alive. The ACLS score for this group of patients was 70%. Among 97 patients with the most unfavorable findings (whose ACLS score was O), one (1%) was discharged. We believe the score can provide emergency personnel with a realistic appraisal of the likelihood of successful resuscitation.

(JAMA 1981;246:50-52)

Author Affiliations
From the Departments of Medicine (Dr Eisenberg), Biostatistics (Dr Hallstrom), and Health Services (Dr Bergner), University of Washington, Seattle. Dr Bergner is now at Health and Hospitals Corporation of New York City.

Footnotes
Reprint requests to King County Emergency Medical Services, 508 Smith Tower, 506 Second Ave, Seattle, WA 98104 (Dr Eisenberg).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A Qualitative Study to Identify Barriers to Local Implementation of Prehospital Termination of Resuscitation Protocols
Sasson et al.
Circ Cardiovasc Qual Outcomes 2009;2:361-368.
ABSTRACT | FULL TEXT  

Prehospital Termination of Resuscitation in Cases of Refractory Out-of-Hospital Cardiac Arrest
Sasson et al.
JAMA 2008;300:1432-1438.
ABSTRACT | FULL TEXT  

The Resuscitation Outcome: Revisit the Story of the Stony Heart
El-Menyar
Chest 2005;128:2835-2846.
ABSTRACT | FULL TEXT  

Impact of Community-Wide Police Car Deployment of Automated External Defibrillators on Survival From Out-of-Hospital Cardiac Arrest
Myerburg et al.
Circulation 2002;106:1058-1064.
ABSTRACT | FULL TEXT  

Improving Survival From Sudden Cardiac Arrest: The Role of the Automated External Defibrillator
Marenco et al.
JAMA 2001;285:1193-1200.
ABSTRACT | FULL TEXT  

Out-of-Hospital Cardiac Arrest in Octogenarians and Nonagenarians
Kim et al.
Arch Intern Med 2000;160:3439-3443.
ABSTRACT | FULL TEXT  

Utstein-Style Guidelines for Uniform Reporting of Laboratory CPR Research: A Statement for Healthcare Professionals From a Task Force of the American Heart Association, the American College of Emergency Physicians, the American College of Cardiology, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Institute of Critical Care Medicine, the Safar Center for Resuscitation Research, and the Society for Academic Emergency Medicine
Idris et al.
Circulation 1996;94:2324-2336.
FULL TEXT  

Survival After Failed Out-of-Hospital Resuscitation: Are Further Therapeutic Efforts in the Emergency Department Futile?
Schoenenberger et al.
Arch Intern Med 1994;154:2433-2437.
ABSTRACT  

The Problem of Discrimination in Health Care Priority Setting
Hadorn
JAMA 1992;268:1454-1459.
ABSTRACT  

Nontraumatic Prehospital Sudden Death in Young Adults
Raymond et al.
Arch Intern Med 1988;148:303-308.
ABSTRACT