Predicting Mortality in Patients With Return of Spontaneous Circulation After Cardiac Arrest

N/AActive Not RecruitingNCT07020091

Ahmet Düzgün200 enrolled

Overview

This observational study aims to identify early predictors of in-hospital mortality in adult patients who achieved return of spontaneous circulation (ROSC) after cardiac arrest. The study prospectively enrolls patients admitted to the intensive care unit at a tertiary care hospital in Turkey. Various clinical, biochemical, and resuscitation-related parameters will be recorded within the first 24 hours of ICU admission. The primary goal is to determine which factors are most strongly associated with mortality within 30 days. The findings are expected to improve clinical decision-making and risk stratification in the management of post-cardiac arrest patients.

This is a prospective observational study conducted in the intensive care unit (ICU) of Gazi Yaşargil Training and Research Hospital, Turkey. The study aims to identify independent predictors of in-hospital mortality in patients who achieve return of spontaneous circulation (ROSC) after cardiac arrest. Adult patients (age ≥ 18 years) who were resuscitated after cardiac arrest and admitted to the ICU are consecutively included. Data are collected prospectively on admission and within the first 24 hours, including demographic characteristics, cause and type of arrest, time to ROSC, initial rhythm, hemodynamic parameters, neurological status, lactate, pH, base excess, biomarkers, and therapeutic interventions. Primary outcome is 30-day in-hospital mortality. Secondary outcomes include neurological outcome at discharge and ICU length of stay. Patients are followed up until hospital discharge or death. The data will be analyzed using multivariate logistic regression to identify independent risk factors for mortality. The study was approved by the institutional ethics committee, and no intervention beyond routine care is performed. Results are expected to improve clinical prognostication and guide decision-making for patients with ROSC after cardiac arrest.

Study Type

OBSERVATIONAL

Enrollment

200

Conditions

Post-Resuscitation Syndrome

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥ 18 years * Achieved return of spontaneous circulation (ROSC) after cardiac arrest * Admitted to the intensive care unit (ICU) * Informed consent obtained from patient or legal representative (if applicable) Exclusion Criteria: * Age \< 18 years * Known pregnancy * Brain death at the time of ICU admission * Patients with missing key clinical or laboratory data * Declined participation or legal refusal

Outcomes

Primary Outcomes

In-Hospital Mortality

All-cause mortality recorded during the index hospital stay following return of spontaneous circulation (ROSC).

Time frame: From ICU admission to hospital discharge (up to 60 days)

6-Month Mortality

All-cause mortality assessed at 6 months following the initial cardiac arrest event. Mortality status is confirmed through hospital records and national death registry.

Time frame: 6 months after ICU admission