Clinician miscalibration of survival estimate in hypothermic cardiac arrest: HOPE-estimated survival probabilities in extreme cases.

Details

Serval ID
serval:BIB_8ABA841C5E20
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clinician miscalibration of survival estimate in hypothermic cardiac arrest: HOPE-estimated survival probabilities in extreme cases.
Journal
Resuscitation plus
Author(s)
Darocha T., Hugli O., Kosiński S., Podsiadło P., Caillet-Bois D., Pasquier M.
ISSN
2666-5204 (Electronic)
ISSN-L
2666-5204
Publication state
Published
Issued date
09/2021
Peer-reviewed
Oui
Volume
7
Pages
100139
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Patients with hypothermic cardiac arrest may survive with an excellent outcome after extracorporeal life support rewarming (ECLSR). The HOPE (Hypothermia Outcome Prediction after ECLS) score is recommended to guide the in-hospital decision on whether or not to initiate ECLSR in patients in cardiac arrest following accidental hypothermia. We aimed to assess the HOPE-estimated survival probabilities for a set of survivors of hypothermic cardiac arrest who had extreme values for the variables included in the HOPE score.
Survivors were identified and selected through a systematic literature review including case reports. We calculated the HOPE score for each patient who presented extraordinary clinical parameters.
We identified 12 such survivors. The HOPE-estimated survival probability was ≥10% for all (n = 11) patients for whom we were able to calculate the HOPE score.
Our study confirms the robustness of the HOPE score for outliers and thus further confirms its external validity. These cases also confirm that hypothermic cardiac arrest is a fundamentally different entity than normothermic cardiac arrest. Using HOPE for extreme cases may support the proper calibration of a clinician's prognosis and therapeutic decision based on the survival chances of patients with accidental hypothermic cardiac arrest.
Keywords
Cardiac arrest, Extracorporeal life support rewarming, Hypothermia, Triage
Pubmed
Web of science
Open Access
Yes
Create date
12/07/2021 8:20
Last modification date
25/09/2021 5:36
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