Cardiac arrest & resuscitation

Paucity of neuroprognostic testing after cardiac arrest in the United States

ResuscitationPublished Retrospective cohort study

Authors' conclusion

In this retrospective cohort, we found few patients hospitalized after out-of-hospital cardiac arrest underwent guideline-recommended prognostic testing.

Study context

Population
In-hospital decedents admitted after resuscitation from non-traumatic cardiac arrest, Optum EHR dataset, 2010–2021
Participants
34,585 decedents
Outcome
Frequency and timing of guideline-recommended neuroprognostic testing (head CT, EEG, SSEP, brain MRI, neurologist evaluation) before in-hospital death

Main finding

As reported in the abstract

≥1 neurodiagnostic test

3,245

9%

Evaluated by a neurologist

1,708

5%

Head CT (most common test)

3,004

9%

≥2 diagnostic modalities

852

2%

Observational data: associations, not effects.

Further findings

Hospital length of stay and timing of death

Median hospital length of stay (IQR 0-1), days
0
Deaths on or after day 3
16%

Original publication

Paucity of neuroprognostic testing after cardiac arrest in the United States. Resuscitation. Published 15 March 2023. doi:10.1016/j.resuscitation.2023.109762

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