Advancing Outcome Prediction Following Cardiac Arrest Through Clinical Scoring Systems
Presenter: Yumna Usmani
Affiliation: Sandwell
and West Birmingham Hospital, United Kingdom
Presentation Format:
Poster Presentation (Virtual)
Tittle: Comparison of MIRACLE2 and NULL-PLEASE scores for predicting survival
and neurological outcomes following out-of-hospital cardiac arrest
🔬 Presentation Overview
🩺 Clinical Context
Accurate early prognostication after out-of-hospital cardiac arrest (OOHCA)
remains difficult. Scoring systems such as MIRACLE2 and NULL-PLEASE have been
introduced to assist clinicians, but direct comparative evidence between these
tools is limited.
🎯 Research Purpose
This
study sought to evaluate and compare the ability of the MIRACLE2 and
NULL-PLEASE scores to predict survival and neurological outcomes following
OOHCA.
🔬 Study Approach
A
retrospective, single-centre study was conducted involving 39 consecutive
patients who achieved return of spontaneous circulation after OOHCA.
Demographic, clinical, and outcome data were obtained from electronic health
records, and both prognostic scores were calculated for each patient.
Primary
endpoint: Survival to hospital discharge
Secondary
endpoint: Favourable neurological outcome (CPC ≤ 2)
Predictive
performance was assessed using ROC curve analysis (AUC) and Mann–Whitney
testing.
📈 Outcome Summary
67% of
patients survived to discharge
63%
achieved favourable neurological recovery
🔹 MIRACLE2 Score:
Demonstrated limited prognostic value for both survival and neurological
outcomes.
🔹 NULL-PLEASE Score:
Showed
strong discrimination for survival and meaningful prediction of poor
neurological recovery. Higher scores were associated with increased mortality
and adverse neurological outcomes.
⚖️ Comparative Assessment
Overall,
the NULL-PLEASE score outperformed MIRACLE2, offering superior early risk
stratification in patients following OOHCA.
🧠 Practice Implications
The
NULL-PLEASE score may serve as a more reliable tool to support clinical
decision-making during post-resuscitation care.
👩⚕️ About the Speaker
Dr Yumna Usmani
is a foundation year two doctor who has worked at Sandwell and West Birmingham
Hospitals and University hospitals Birmingham UK, rotating through medical and surgical
specialties. She graduated from University of Leicester in 2024.
📅 Conference Details
Event: International Conference on Cardiology and
Cardiovascular ScienceDates: March 26–28, 2026
Venue: Singapore & Online
Website: https://cardiology.miconferences.com/
#CardiacArrest#Cardiology#Cardiology2026 #CriticalCare#CVS2026 #CardiologyConference#CriticalCareResearch#Mathewsconference#SurvivalPrediction
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