• Emily C Reynolds, Zohra Zenasni, David A Harrison, Kathryn M Rowan, Jerry P Nolan, Jasmeet Soar, and National Cardiac Arrest Audit.
• CT3 Acute Common Care Stem, Anaesthetics, Severn Deanery, UK. Electronic address: e.reynolds2@nhs.net.
• Resuscitation. 2019 Aug 1; 141: 19-23.

AimCerebral Performance Category (CPC) can be used to categorise neurological outcome after cardiac arrest. There is no consensus on what information sources can be used to derive the CPC. This study describes the information sources used by hospitals participating in the UK National Cardiac Arrest Audit (NCAA) and their impact on the CPC reported for individuals surviving an in-hospital cardiac arrest (IHCA).MethodsData on the CPCs and on the information source used to assess the CPC (either case note review, communication with clinical team or direct patient assessment) were abstracted for individual adult patients who survived to discharge following an IHCA in an acute hospital participating in NCAA between 1 May 2014 and 30 April 2016.ResultsData for 33,114 IHCAs (in 31,783 patients) from 195 hospitals were reported to NCAA, of whom 6093 (18.4%) survived to hospital discharge. Of these hospital survivors, 5492 (90.1%) had both the CPC and information source reported: case note review (3989 patients, 72.6%), communication with the clinical team (1053 patients, 19.2%); and direct patient assessment (450 patients, 8.2%). Most (96.6%) survivors were reported to have had a good neurological outcome (CPC 1 or 2). There were small differences in the CPC reported derived from the different information sources but these differences were not clinically important.ConclusionIn the UK IHCA audit, the most commonly used information source for CPC assessment is case notes. Most survivors of IHCA are reported as having a CPC score of 1 or a good outcome (CPC scores 1 or 2).Copyright © 2019. Published by Elsevier B.V.

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