Independent evaluation of a defibrillation outcome predictor for out-of-hospital cardiac arrested patients.

Abstract:

:We evaluated the ability of a previously derived outcome predictor to discriminate between ECG segments corresponding to return of spontaneous circulation (ROSC) or not in validation data from 136 patients with cardiac arrest. The new data used for validation were totally independent from the predictor derivation data used in the original study. Features corresponding to those used in the development of the original outcome predictor, centroid frequency, peak power frequency, spectral flatness and energy, were computed following which a second decorrelated feature set was generated. The outcome predictor was applied to the new data with good correspondence in performance (testing) to what was expected (training) with receiver operator characteristics (ROC) areas of 0.80 and 0.79, respectively. Outcome predictor performance was reproducible. As in the present study, future testing should be performed on totally independent data not included in the design of the outcome predictor to get a reliable impression of expected performance.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Eftestøl T,Losert H,Kramer-Johansen J,Wik L,Sterz F,Steen PA

doi

10.1016/j.resuscitation.2005.05.006

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

55-61

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(05)00213-3

journal_volume

67

pub_type

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