Cardiac arrest & resuscitation

External validation of the TiPS65 score for predicting good neurological outcomes in patients with out-of-hospital cardiac arrest treated with extracorporeal cardiopulmonary resuscitation

ResuscitationPublished External validation study of a prognostic score

Authors' conclusion

The TiPS65 score shows reasonable discrimination and predictive performances.

Study context

Population
Adults with out-of-hospital cardiac arrest (OHCA) and shockable rhythm treated with extracorporeal cardiopulmonary resuscitation (ECPR), Japanese registry, 2018–201964 (10.8%) favourable outcome
Participants
590 adults
Comparison
TiPS65 >1 vs TiPS65 >3
Outcome
Survival with favourable neurological outcome (Cerebral Performance Category 1 or 2)
Follow-up
30 days
Methodological detailsmulticentre, nationwide, prospective registry
  • Multicentre
  • Nationwide
  • Prospective registry

Performance

As reported in the abstract

Prediction of 30-day favourable neurological outcome
StrategySensitivitySpecificity
TiPS65 >10.906 (95%CI: 0.807-0.965)0.430 (95%CI: 0.387-0.473)
TiPS65 >30.172 (95%CI: 0.089-0.287)0.971 (95%CI: 0.953-0.984)

Sensitivity

TiPS65 >10.906 (95%CI: 0.807-0.965)
TiPS65 >30.172 (95%CI: 0.089-0.287)

Specificity

TiPS65 >10.430 (95%CI: 0.387-0.473)
TiPS65 >30.971 (95%CI: 0.953-0.984)
C-statistic of TiPS65 score
0.729 (95% CI 0.672-0.786)

Original publication

External validation of the TiPS65 score for predicting good neurological outcomes in patients with out-of-hospital cardiac arrest treated with extracorporeal cardiopulmonary resuscitation. Resuscitation. Published 25 November 2022. doi:10.1016/j.resuscitation.2022.11.018

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