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    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    CAHP (Cardiac Arrest Hospital Prognosis) Score

    Predicts poor prognosis after out-of-hospital cardiac arrest and guides utility of cardiac catheterization.

    INSTRUCTIONS

    Use in adult patients with out-of-hospital cardiac arrest (OHCA) of suspected cardiac etiology. Do not use for other causes of arrest, e.g. trauma, hanging, drowning, intoxication, overdose.

    When to Use
    Pearls/Pitfalls
    Why Use

    Adult cardiac arrest patients with return of spontaneous circulation (ROSC) presenting to ED.

    • Devised and validated on out of hospital cardiac arrest patients with suspected medical/cardiac disease. It should not be used for patients with traumatic arrests or other circumstances such as drug overdose, environmental hypothermia, and asphyxiation.
    • STEMI patients have a class I indication for coronary angiography even after out of hospital cardiac arrest. 

    Helps risk stratify and identify patients at high risk for adverse neurologic outcomes who may not benefit from immediate cardiac catheterization, coronary angiography or other aggressive modalities of care such as percutaneous left ventricular assist devices, ECMO.

    years
    Public setting
    Home
    Shockable
    Non-shockable
    min
    min
    0
    1-2
    ≥3

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    Creator Insights
    Dr. Florence Dumas

    About the Creator

    Florence Dumas, MD, PhD, is a professor of emergency medicine at the University of Paris in France. She is also deputy chief of the pre-hospital and in-hospital emergency department at the Cochin and Hotel Dieu Hospital and has been a researcher on the Paris Sudden Death Expertise Center research team centered on cardiac arrest research. Dr. Dumas’ primary research is focused on prognostic factors and outcome prediction for cardiac arrest patients.

    To view Dr. Florence Dumas's publications, visit PubMed

    Are you Dr. Florence Dumas? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Dr. Carole Maupain

    About the Creator

    Carole Maupain, MD, is a cardiologist at Hôpital La Pitié Salpêtrière in France. She has also presented in coordination with ACTION Coeur, a research organization focused on cardiovascular disease research. Dr. Maupain’s primary research is focused on patient outcomes of cardiac events and risk stratification of cardiac arrest cases.

    To view Dr. Carole Maupain's publications, visit PubMed

    Are you Dr. Carole Maupain? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    Content Contributors
    • Anumeha Sigh, MD
    • Asad Rizvi, MD
    • Bryan Piccirillo, MD
    About the Creator
    Dr. Florence Dumas
    Are you Dr. Florence Dumas?
    Dr. Carole Maupain
    Are you Dr. Carole Maupain?
    Also from MDCalc...
    Content Contributors
    • Anumeha Sigh, MD
    • Asad Rizvi, MD
    • Bryan Piccirillo, MD