cahp_guideline v.1
An assessment score used to predict poor prognosis after out-of-hospital cardiac arrest and guides utility of cardiac catheterization.
To calculate CAHP score and its interpretations.
Use in adult patients with out-of-hospital cardiac arrest of suspected cardiac etiology. The CAHP score is the sum of the points of all variables: Age = 1.1x(years-10) points, Arrest Setting = (Public Setting = 0 points or Home = 24 points), Initial Shockable Rhytm = (Yes = 0 points or No = 27 points), Collapse-BLS Duration = 2.8xminutes points, BLS-ROSC Duration = 0.8xminutes points, Admission pH = 585-(77xpH) points, Epinephrine = (0mg = 0 points or 1-2mg = 27 points or >=3 mg = 43 points). A CAHP score <= 150 points is associated with low risk and 39% of an unfavourable outcome, score 150-200 is associated with medium risk and 81% of an unfavourable outcome, and score >= 200 is associated with high risk and 100% of an unfavourable outcome.
Not to use for other causes of arrest such as trauma, hanging, drowning, intoxication, or asphyxia.
Maupain C, Bougouin W, Lamhaut L, Deye N, Diehl JL, Geri G, Perier MC, Beganton F, Marijon E, Jouven X, Cariou A, Dumas F. The CAHP (Cardiac Arrest Hospital Prognosis) score: a tool for risk stratification after out-of-hospital cardiac arrest. Eur Heart J. 2016 Nov 7;37(42):3222-3228. doi: 10.1093/eurheartj/ehv556. Epub 2015 Oct 24. PMID: 26497161. Bougouin W, Dumas F, Karam N, Maupain C, Marijon E, Lamhaut L, Jost D, Geri G, Beganton F, Varenne O, Spaulding C, Jouven X, Cariou A; Sudden Death Expertise Center. Should We Perform an Immediate Coronary Angiogram in All Patients After Cardiac Arrest?: Insights From a Large French Registry. JACC Cardiovasc Interv. 2018 Feb 12;11(3):249-256. doi: 10.1016/j.jcin.2017.09.011. PMID: 29413238.
OBSERVATION.basic_demographic.v1, OBSERVATION.cahp.v0, EVALUATION.cahp_assessment.v0
