COSCA (Core Outcome Set for Cardiac Arrest) in Adults: An Advisory Statement From the International Liaison Committee on Resuscitation

Kirstie Haywood; Laura Whitehead; Vinay M Nadkarni; Felix Achana; Stefanie Beesems; Bernd W Böttiger; Anne Brooks; Maaret Castrén; Marcus E H Ong; Mary Fran Hazinski; Rudolph W Koster; Gisela Lilja; John Long; Koenraad G Monsieurs; Peter T Morley; Laurie Morrison; Graham Nichol; Valentino Oriolo; Gustavo Saposnik; Michael Smyth; Ken Spearpoint; Barry Williams; Gavin D Perkins; COSCA Collaborators

doi:10.1016/j.resuscitation.2018.03.022

COSCA (Core Outcome Set for Cardiac Arrest) in Adults: An Advisory Statement From the International Liaison Committee on Resuscitation

Resuscitation. 2018 Jun:127:147-163. doi: 10.1016/j.resuscitation.2018.03.022. Epub 2018 Apr 26.

PMID: 29706235
DOI: 10.1016/j.resuscitation.2018.03.022

Abstract

Cardiac arrest effectiveness trials have traditionally reported outcomes that focus on survival. A lack of consistency in outcome reporting between trials limits the opportunities to pool results for meta-analysis. The COSCA initiative (Core Outcome Set for Cardiac Arrest), a partnership between patients, their partners, clinicians, research scientists, and the International Liaison Committee on Resuscitation, sought to develop a consensus core outcome set for cardiac arrest for effectiveness trials. Core outcome sets are primarily intended for large, randomised clinical effectiveness trials (sometimes referred to as pragmatic trials or phase III/IV trials) rather than for pilot or efficacy studies. A systematic review of the literature combined with qualitative interviews among cardiac arrest survivors was used to generate a list of potential outcome domains. This list was prioritised through a Delphi process, which involved clinicians, patients, and their relatives/partners. An international advisory panel narrowed these down to 3 core domains by debate that led to consensus. The writing group refined recommendations for when these outcomes should be measured and further characterised relevant measurement tools. Consensus emerged that a core outcome set for reporting on effectiveness studies of cardiac arrest (COSCA) in adults should include survival, neurological function, and health-related quality of life. This should be reported as survival status and modified Rankin scale score at hospital discharge, at 30 days, or both. Health-related quality of life should be measured with ≥1 tools from Health Utilities Index version 3, Short-Form 36-Item Health Survey, and EuroQol 5D-5L at 90 days and at periodic intervals up to 1 year after cardiac arrest, if resources allow. © 2018 European Resuscitation Council and American Heart Association, Inc. Published by Elsevier B.V. All rights reserved.

Keywords: AHA Scientific Statements; Cardiac arrest; Consensus; Quality of life; Treatment outcome.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Cardiopulmonary Resuscitation / methods
Delphi Technique
Humans
Out-of-Hospital Cardiac Arrest* / mortality
Out-of-Hospital Cardiac Arrest* / physiopathology
Out-of-Hospital Cardiac Arrest* / therapy
Outcome Assessment, Health Care / methods*
Pragmatic Clinical Trials as Topic
Qualitative Research
Quality of Life*
Randomized Controlled Trials as Topic
Recovery of Function*
Survivorship*