Cardiac arrest & resuscitation

Development of the CASPER-Score: A bedside tool integrating artificial intelligence (AI)-based electrocardiogram (ECG) analysis with key clinical predictors to identify relevant coronary artery stenosis in patients after out-of-hospital cardiac arrest

ResuscitationPublished Retrospective cohort study

Authors' conclusion

The CASPER-Score may improve early risk stratification and support decision-making regarding coronary angiography in OHCA patients.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) patients admitted to the ICU 01/2019–12/2021 who underwent coronary angiography within 7 days
Participants
204 patients
Outcome
Relevant coronary artery stenosis (≥50% diameter stenosis of left main or ≥70% of all other vessels)
Methodological detailssingle-centre, prediction model development
  • Single-centre
  • Prediction model development

Main finding

As reported in the abstract

Relevant coronary artery stenosis

Relevant coronary artery stenosis present

157

77%

CASPER-Score (range 0-8 points) discrimination, AUC

0.86

Observational data: associations, not effects.

Secondary outcomes

Underwent coronary revascularization
127 (62.3%)
Model predicting revascularization, AUC (moderate discrimination)
0.74

Original publication

Development of the CASPER-Score: A bedside tool integrating AI-based ECG analysis with key clinical predictors to identify relevant coronary artery stenosis in patients after out-of-hospital cardiac arrest. Resuscitation. Published 7 July 2026. doi:10.1016/j.resuscitation.2026.111198

Composed by AI from the published abstract and checked against it. How Briefs are made →

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