Association between postresuscitation 12-lead ECG features and long-term neurological outcome after out-of-hospital cardiac arrest: a post-hoc subanalysis of the PEACE study
Authors' conclusion
ECG after ROSC can identify patients at high risk of death after OHCA earlier than other prognostic methods, not only in terms of short-term mortality, but also in terms of neurological outcome one year after OHCA. Wider QRS complex and ST-elevations in II, III, or aVF were identified as specific prognosticators.
Study context
- Population
- Adults with non-traumatic out-of-hospital cardiac arrest (OHCA) and post-ROSC ECGs, 3 centres in Vienna, Pavia and Lugano, 01/2015–12/2018
- Exposure
- Post-ROSC ECG features and neurological outcome
- Outcome
- Neurological outcome
- Follow-up
- One year
Methodological detailspost-hoc subanalysis of the PEACE study, multicentre
- Post-hoc subanalysis of the PEACE study
- Multicentre
Main finding
As reported in the abstract
Favorable neurological outcome
Observational data: associations, not effects.
Further findings
STEMI on post-ROSC ECG
- STEMI diagnosed in post-ROSC ECGs
- 53.5%
Discharged; favorable neurological outcome at discharge · Hospital discharge
- Patients discharged
- 68.1%
- Favorable neurological outcome
- 59.5%
Original publication
Association between postresuscitation 12-lead ECG features and long-term neurological outcome after out-of-hospital cardiac arrest: a post-hoc subanalysis of the PEACE study. Resuscitation. Published 5 May 2025. doi:10.
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