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Cardiac arrest

BDR best score for post-OHCA mortality

External Validation and Comparative Performance of ACLS, SARICA, NULL-PLEASE, BDR scores for In-Hospital Mortality after Out-of-Hospital Cardiac Arrest: A Multicenter Retrospective Cohort Study
Resuscitation Plus · Added 27 July 2026

Study on: External Validation and Comparative Performance of ACLS, SARICA, NULL-PLEASE, BDR scores for In-Hospital Mortality after Out-of-Hospital Cardiac Arrest: A Multicenter Retrospective Cohort Study. No abstract available for detailed assessment.

Study type

Cohort

Design

Retrospective multicentre cohort (external validation)

Participants

1036 adults with OHCA and ROSC

Main finding

718 (69.3%) died in hospital. BDR score had best discrimination (AUROC 0.775; 95% CI 0.745-0.805), followed by NULL-PLEASE (0.756), modified SARICA (0.746) and modified ACLS (0.662); BDR, NULL-PLEASE and SARICA all outperformed ACLS. Specificity only moderate at Youden thresholds.

Caveat

Patients missing CT, blood gas or lactate data excluded, risking selection bias; retrospective design and moderate specificity limit clinical use.

Bottom line

Context only

Learning goal

Compare prognostic scores for predicting in-hospital mortality after out-of-hospital cardiac arrest and their limits.

More

• Topic: Cardiac arrest
• Daily scan: 27 July 2026

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