Cardiac arrest & resuscitation

Early Prediction of Neurological Outcome After Cardiac Arrest‐Rationale and Design of the Prospective International Observational EARLY ‐ NEURO , a STEPCARE Substudy

Acta Anaesthesiol ScandPublished Protocol of a prospective observational diagnostic accuracy substudy of the STEPCARE randomised trial

Study context

Population
Adults sedated or still unconscious at 24 h after cardiac arrest, randomised in the STEPCARE trial
Planned comparison
Head computed tomography (CT) vs EEG vs Neurofilament light
Primary endpoint
Good or poor functional outcome by modified Rankin Scale (dichotomised 0-3 vs 4-6)
Follow-up
6 months
Methodological detailsinternational, multicentre, blinded central evaluation, STARD reporting, Raters blinded to treatment allocations and patient outcomes, withdrawal of life-sustaining therapy (WLST) before 72 h after randomisation based on presumed futile neurological prognosis strongly discouraged; timepoint and reasons for WLST recorded
  • International
  • Multicentre
  • Blinded central evaluation
  • STARD reporting
  • Raters blinded to treatment allocations and patient outcomes
  • WLST before 72 h after randomisation based on presumed futile neurological prognosis strongly discouraged; timepoint and reasons for WLST recorded

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Early Prediction of Neurological Outcome After Cardiac Arrest‐Rationale and Design of the Prospective International Observational EARLY ‐ NEURO , a STEPCARE Substudy. Acta Anaesthesiol Scand. Published 17 April 2026. doi:10.1111/aas.70239

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