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In the article by Zoch and coworkers¹ on short- and long-term survival after cardiopulmonary resuscitation, the authors describe a single center's experience with resuscitation from December 1983 through November 1991. While this article adds to the body of knowledge on the rate of survival after discharge to home, it "shorted" the prediction of in-hospital survival. Like most retrospective studies of prospectively collected data, the greatest threat to validity is the information that was not recorded or analyzed.

We have previously derived and validated a "clinimetric" tool for the prediction of in-hospital survival and neurologic outcome for use in witnessed, out-of-hospital cardiac arrest.^{2, 3} We believe this score could have added considerably to the authors' multivariate analysis and would likely have made the presenting rhythms unimportant, as it did in our models (ED SBP indicates the emergency department or first recordable systolic blood pressure; ROSC, the return of spontaneous circulation):

We have . . . [Full Text of this Article]

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RELATED ARTICLE

Short- and Long-term Survival After Cardiopulmonary Resuscitation
Thomas W. Zoch, Norman A. Desbiens, Frank DeStefano, Dean T. Stueland, and Peter M. Layde
Arch Intern Med. 2000;160(13):1969-1973.
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