Reexamination of the UN10 Rule to Discontinue Resuscitation During In-Hospital Cardiac Arrest | Zendy

Bradley J. Petek | Zendy; Daniel Bennett | Zendy; Christian Ngô | Zendy; Paul S. Chan | Zendy; Brahmajee K. Nallamothu | Zendy; Steven M. Bradley | Zendy; Yuanyuan Tang | Zendy; Rodney A. Hayward | Zendy; Carl van Walraven | Zendy; Zachary D. Goldberger | Zendy

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Reexamination of the UN10 Rule to Discontinue Resuscitation During In-Hospital Cardiac Arrest

Author(s) -

Bradley J. Petek,

Daniel Bennett,

Christian Ngô,

Paul S. Chan,

Brahmajee K. Nallamothu,

Steven M. Bradley,

Yuanyuan Tang,

Rodney A. Hayward,

Carl van Walraven,

Zachary D. Goldberger

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.4941

Subject(s) - resuscitation , medicine , cardiopulmonary resuscitation , cardiac resuscitation , clinical death , emergency medicine , intensive care medicine

Key Points Question How does a previously developed clinical decision rule (termed the UN10 rule ), designed to predict futility during in-hospital cardiac arrest, perform in a large national sample? Findings In this cohort study of 96 509 patients with in-hospital cardiac arrest, the percentage of patients who satisfied the UN10 rule for futility and survived (6.3%) was substantially higher than the initial derivation cohort (0%) and single-center validation cohort (1.1%). Meaning A revalidation study of the UN10 rule in a large cohort demonstrated moderate predictive ability to identify patients with poor survival; however, survival rates of patients who met all UN10 criteria were much higher than previous studies.

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