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

Ken Spearpoint, Kirstie Haywood, Laura Whitehead, Vinay Nadkarni, Felix Achana, Stefanie Beesems, Bernd Bottiger, Anne Brooks, Maaret Castren, Marcus Ong, Mary Fran Hazinski, Rudolph Koster, Gisela Lilja, John Long, Koenraad Monsieurs, Peter Morley, Laurie Morrison, Graham Nichol, Valentino Oriolo, Gustavo SaposnikMichael Smyth, Barry Williams, Gavin Perkins

Research output: Contribution to journalArticlepeer-review

49 Citations (Scopus)


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, randomized 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 prioritized 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 characterized 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.
Original languageEnglish
Pages (from-to)e783-e801
Number of pages19
Issue number22
Publication statusPublished - 29 Apr 2018


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