P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort
Introduction: Prehospital Return of Spontaneous Circulation (P-ROSC), Utstein-Based Return of Spontaneous Circulation (UB-ROSC), and Return of Spontaneous Circulation After Cardiac Arrest (RACA) scores have been developed to estimate the likelihood of Return of Spontaneous Circulation (ROSC) in Out...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2025-03-01
|
| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2631 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849394426660519936 |
|---|---|
| author | Tanakorn Janbavonkij Chaiyaporn Yuksen Kasamon Aramvanitch Pitsucha Sanguanwit Thanakorn Laksanamapune Chetsadakon Jenpanitpong Thavinee Trainarongsakul Suteenun Seesuklom |
| author_facet | Tanakorn Janbavonkij Chaiyaporn Yuksen Kasamon Aramvanitch Pitsucha Sanguanwit Thanakorn Laksanamapune Chetsadakon Jenpanitpong Thavinee Trainarongsakul Suteenun Seesuklom |
| author_sort | Tanakorn Janbavonkij |
| collection | DOAJ |
| description |
Introduction: Prehospital Return of Spontaneous Circulation (P-ROSC), Utstein-Based Return of Spontaneous Circulation (UB-ROSC), and Return of Spontaneous Circulation After Cardiac Arrest (RACA) scores have been developed to estimate the likelihood of Return of Spontaneous Circulation (ROSC) in Out-of-hospital cardiac arrest (OHCA). This study aimed to validate and compare these three scoring systems.
Methods: A retrospective cohort study was conducted using electronic medical records of OHCA patients transported by Ramathibodi Emergency Medical Service (EMS) from January 2021 to October 2024. We included all OHCA patients aged >18 years who transported by Ramathibodi EMS. RACA, UB-ROSC, and P-ROSC scores were calculated, and ROSC was recorded. The area under the ROC curve (AUC) of each score were calculated to assess predictive accuracy.
Results: Among 336 OHCA cases, 94 (27.97%) patients achieved ROSC. The RACA score demonstrated the highest predictive accuracy, with an AUC of 0.77 (95% CI: 0.71–0.82). The UB-ROSC score followed with an AUC of 0.72 (95% CI: 0.66–0.78), while the P-ROSC score had the lowest predictive value with an AUC of 0.64 (95% CI: 0.58–0.70). Calibration analysis indicated that the RACA score aligned most closely with observed outcomes compared to the UB-ROSC and P-ROSC scores. The RACA score exhibited the best overall performance in terms of both discrimination and calibration.
Conclusions: Among the three predictive models assessed, the RACA and UB-ROSC scores demonstrated fair predictive accuracy for ROSC in OHCA patients, while the P-ROSC score had poor predictive value.
|
| format | Article |
| id | doaj-art-60449b8643714c8a9a6d4c61acaaae83 |
| institution | Kabale University |
| issn | 2645-4904 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj-art-60449b8643714c8a9a6d4c61acaaae832025-08-20T03:40:00ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042025-03-0113110.22037/aaemj.v13i1.2631P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort Tanakorn JanbavonkijChaiyaporn Yuksen0Kasamon AramvanitchPitsucha SanguanwitThanakorn LaksanamapuneChetsadakon JenpanitpongThavinee TrainarongsakulSuteenun SeesuklomRamathibodi hospital Introduction: Prehospital Return of Spontaneous Circulation (P-ROSC), Utstein-Based Return of Spontaneous Circulation (UB-ROSC), and Return of Spontaneous Circulation After Cardiac Arrest (RACA) scores have been developed to estimate the likelihood of Return of Spontaneous Circulation (ROSC) in Out-of-hospital cardiac arrest (OHCA). This study aimed to validate and compare these three scoring systems. Methods: A retrospective cohort study was conducted using electronic medical records of OHCA patients transported by Ramathibodi Emergency Medical Service (EMS) from January 2021 to October 2024. We included all OHCA patients aged >18 years who transported by Ramathibodi EMS. RACA, UB-ROSC, and P-ROSC scores were calculated, and ROSC was recorded. The area under the ROC curve (AUC) of each score were calculated to assess predictive accuracy. Results: Among 336 OHCA cases, 94 (27.97%) patients achieved ROSC. The RACA score demonstrated the highest predictive accuracy, with an AUC of 0.77 (95% CI: 0.71–0.82). The UB-ROSC score followed with an AUC of 0.72 (95% CI: 0.66–0.78), while the P-ROSC score had the lowest predictive value with an AUC of 0.64 (95% CI: 0.58–0.70). Calibration analysis indicated that the RACA score aligned most closely with observed outcomes compared to the UB-ROSC and P-ROSC scores. The RACA score exhibited the best overall performance in terms of both discrimination and calibration. Conclusions: Among the three predictive models assessed, the RACA and UB-ROSC scores demonstrated fair predictive accuracy for ROSC in OHCA patients, while the P-ROSC score had poor predictive value. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2631return of spontaneous circulationCardiac Arrestclinical predictionPrehospitalAmbulance |
| spellingShingle | Tanakorn Janbavonkij Chaiyaporn Yuksen Kasamon Aramvanitch Pitsucha Sanguanwit Thanakorn Laksanamapune Chetsadakon Jenpanitpong Thavinee Trainarongsakul Suteenun Seesuklom P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort Archives of Academic Emergency Medicine return of spontaneous circulation Cardiac Arrest clinical prediction Prehospital Ambulance |
| title | P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort |
| title_full | P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort |
| title_fullStr | P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort |
| title_full_unstemmed | P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort |
| title_short | P-ROSC, UB-ROSC, and RACA Scores in Predicting the Return of Spontaneous Circulation in Out-of-hospital Cardiac Arrest: A Retrospective Cohort |
| title_sort | p rosc ub rosc and raca scores in predicting the return of spontaneous circulation in out of hospital cardiac arrest a retrospective cohort |
| topic | return of spontaneous circulation Cardiac Arrest clinical prediction Prehospital Ambulance |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2631 |
| work_keys_str_mv | AT tanakornjanbavonkij proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT chaiyapornyuksen proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT kasamonaramvanitch proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT pitsuchasanguanwit proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT thanakornlaksanamapune proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT chetsadakonjenpanitpong proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT thavineetrainarongsakul proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort AT suteenunseesuklom proscubroscandracascoresinpredictingthereturnofspontaneouscirculationinoutofhospitalcardiacarrestaretrospectivecohort |