External validation and comparative performance of the SLANT score for neuroprognostication in out-of-hospital cardiac arrest survivors undergoing targeted temperature management: insights from an Asian cohort

J Intensive CarePublished Retrospective cohort study

Authors' conclusion

The SLANT showed high PPV for predicting poor neurological outcomes at discharge in patients with OHCA undergoing TTM across a multicenter Asian cohort.

Study context

Population
Adults resuscitated from out-of-hospital cardiac arrest (OHCA) undergoing TTM, Asian cohort, 2016–2023
Participants
448 adults
Outcome
Poor neurological outcome
Follow-up
Hospital discharge
Methodological detailsexternal validation of a prognostic score, multicentre
  • External validation of a prognostic score
  • Multicentre

Main finding

As reported in the abstract

Prediction of poor neurological outcome at discharge
GroupAUCSpecificity (cutoff ≥ 6.5)PPV (cutoff ≥ 6.5)Specificity (cutoff 8.5)PPV (cutoff 8.5)
SLANT0.797 (95% CI 0.746-0.849)53.5%86.9%66.7%89.6%

SLANT

AUC0.797 (95% CI 0.746-0.849)
Specificity (cutoff ≥ 6.5)53.5%
PPV (cutoff ≥ 6.5)86.9%
Specificity (cutoff 8.5)66.7%
PPV (cutoff 8.5)89.6%
Poor neurological outcome at discharge
77.9%

Observational data: associations, not effects.

Original publication

External validation and comparative performance of the SLANT score for neuroprognostication in out-of-hospital cardiac arrest survivors undergoing targeted temperature management: insights from an Asian cohort. J Intensive Care. Published 14 February 2025. doi:10.1186/s40560-025-00778-y

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