Cardiac arrest can be predicted

Risk score assesses the consequences of cardiac arrest

"Miracle2" rating

Researchers at King's College London and King's College Hospital have developed a risk rating to predict patient outcomes after cardiac arrest.

The results published in the "European Heart Journal" show a new risk classification for myocardial infarction centers, which makes it possible to predict the brain damage of patients who have suffered cardiac arrest outside of a hospital.

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Preclinical cardiac arrest is a major public health challenge. They can lead to significant morbidity and mortality. Those affected have an extremely high risk of long-term brain damage. However, it can be difficult to assess shortly after hospital admission. The risk classification "MIRACLE2"is designed to help clinicians make clinical decisions, improve treatment choices, and facilitate discussions with family members shortly after admission.

For the study, the scientists evaluated the data from 400 patients who had suffered pre-clinical cardiac arrest and were treated at King's College Hospital. The researchers identified the characteristics of the patients who developed brain damage. Using a predictive model, an assessment was achieved that can easily be used by medical professionals when they arrive at a heart attack center.

"MIRACLE2"predicted brain damage with great accuracy. Validating the performance of the evaluation in almost 500 patients from two other centers in Europe yielded equally good results. The risk classification is now being checked for a larger number of patients. In addition, there are also various medical ones Facilities such as paramedics in a community, once all of these reviews have taken place, the process could become part of future clinical trials and become part of national recommendations.

The new risk rating should help ambulance teams and emergency physicians to make early decisions about the best treatment option

Ajay Shah

According to Nilesh Pareek of King's College Hospital, it is "MIRACLE2"For the first practical score that enables an objective risk assessment. This could be a major step forward in research into which patients require invasive treatment, but also in the use of new treatment approaches and the standardization of care in all areas.

For Ajay Shah of King's College London, people who experience cardiac arrest outside of the hospital are among the most serious and complex patients in the emergency room. The results could range from complete recovery to possible long-term damage to the brain. "The new risk rating should help ambulance teams and emergency physicians to make early decisions about the best treatment option."

Source: King's College London / press release