Table 2.
Prognostic factors | Model adjusted data | ||||
---|---|---|---|---|---|
Studies | OR (95% CI) | P* | I2 (%) | GRADE certainty† | |
Pre-arrest factors | |||||
Demographics: | |||||
Male sex | 7 | 0.84 (0.73 to 0.95) | 0.007 | 66 | Moderate |
Age ≥60 | 3 | 0.50 (0.40 to 0.62) | <0.001 | 50 | Low |
Age ≥70 | 2 | 0.42 (0.18 to 0.99) | 0.050 | 69 | Low |
Comorbidities at admission: | |||||
Active malignancy | 4 | 0.57 (0.45 to 0.71) | <0.001 | 71 | High |
Congestive heart failure | 1 | 0.62 (0.56 to 0.68) | <0.001 | NA | Moderate |
Chronic kidney disease | 5 | 0.56 (0.40 to 0.78) | 0.001 | 92 | High |
COPD | 1 | 0.65 (0.58 to 0.72) | <0.001 | NA | Moderate |
Diabetes mellitus | 1 | 0.53 (0.34 to 0.83) | 0.005 | NA | Moderate |
Admission diagnosis: | |||||
Acute coronary syndrome | 2 | 0.70 (0.28 to 1.78) | 0.460 | 99 | Low |
Sepsis | 1 | 0.80 (0.70 to 0.91) | 0.001 | NA | Moderate |
Intra-arrest factors | |||||
Witnessed arrest | 4 | 2.71 (2.17 to 3.38) | <0.001 | 68 | High |
Monitored patient | 6 | 2.23 (1.41 to 3.52) | <0.001 | 97 | High |
Arrest during daytime hours | 5 | 1.41 (1.20 to 1.66) | <0.001 | 94 | High |
Ventricular tachycardia | 4 | 3.76 (2.95 to 4.78) | <0.001 | 85 | High |
Ventricular fibrillation | 4 | 3.68 (2.68 to 5.05) | <0.001 | 94 | High |
Asystole | 4 | 0.42 (0.32 to 0.56) | <0.001 | 12 | High |
Pulseless electrical activity | 2 | 0.59 (0.27 to 1.27) | 0.180 | 77 | High |
Shockable rhythm | 12 | 5.28 (3.78 to 7.39) | <0.001 | 96 | High |
Intubation during arrest | 5 | 0.54 (0.42 to 0.70) | <0.001 | 73 | Moderate |
Resuscitation duration ≥15 min | 2 | 0.12 (0.07 to 0.19) | <0.001 | 27 | High |
COPD=chronic obstructive pulmonary disease; GRADE=grading of recommendations, assessment, development, and evaluation; NA=not applicable; OR=odds ratio.
P values obtained from the test for overall effect.
GRADE certainty of estimates in studies of prognosis, as described by Iorio and colleagues.25