2019 Volume 26 Issue 2 Pages 103-109
Objective: To assess the utility of the functional status score for the ICU (FSS-ICU) for predicting discharge outcome in patients who experience successful resuscitation after cardiopulmonary arrest on arrival (CPAOA). Methods: We retrospectively identified 15 CPAOA patients who required physical therapy in the ICU or high care unit (HCU) from April 2015 to February 2018. We compared data from before admission, during admission, and at discharge from the ICU/HCU between home and transfer groups. We also calculated the area under the curve (AUC) of five models [cerebral performance category (CPC), FSS-ICU, decision-tree model before admission, decision-tree model + CPC, and decision-tree model + FSS-ICU)], and compared the accuracy in predicting prognosis. Results: The home group consisted of nine patients and had significantly higher FSS-ICU scores for rolling, supine-to-sit movements, and sitting than the transfer group. The decision-tree model + FSS-ICU had the highest accuracy among the five models. Conclusions: CPAOA patients showed significant differences in FSS-ICU at discharge from ICU/HCU. We believe that the decision-tree model + FSS-ICU was the most accurate in terms of predicting prognosis.