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CompletedNCT07020091PROM-ROSCUpdated May 8, 2026Results posted

Predicting Mortality in Patients With Return of Spontaneous Circulation After Cardiac Arrest

An observational study in Post-Resuscitation Syndrome, Critical Illness and Cardiac Arrest, sponsored by Ahmet Düzgün. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-08.

Primary conditionHeart ArrestRegistry: Critical IllnessReclassifiedWhy we changed it
Registry
Critical Illness — the first condition term the registry derived for this study.
ClinicalTrials.gg
Heart Arrest
Why
  1. Critical Illness is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Heart Arrest.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Ahmet Düzgün · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
168
Ages
18 Years and older
Sex
All
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Study summary

This retrospective observational cohort study aims to identify early predictors of short- and mid-term mortality in adult patients who achieved return of spontaneous circulation (ROSC) after cardiac arrest. Eligible patients admitted to the intensive care unit between January 1, 2024 and May 31, 2025 were identified retrospectively from electronic medical records following institutional ethics approval. Clinical, biochemical, and resuscitation-related parameters recorded within the first 24 hours of ICU admission were analyzed. The primary objective was to determine factors independently associated with short-term mortality. Six-month mortality was additionally assessed using hospital records and the national death registry. The findings are expected to improve risk stratification and clinical decision-making in post-cardiac arrest care.

Read the detailed description

This retrospective observational cohort study was conducted in the intensive care unit (ICU) of Gazi Yaşargil Training and Research Hospital, Turkey. Adult patients (≥18 years) who achieved return of spontaneous circulation (ROSC) after cardiac arrest and were admitted to the ICU between January 1, 2024 and May 31, 2025 were identified retrospectively from electronic medical records following institutional ethics approval.

Baseline demographic, clinical, laboratory, and resuscitation-related variables recorded within the first 24 hours of ICU admission were extracted from hospital records. These variables included arrest characteristics, time to ROSC, initial rhythm, hemodynamic parameters, neurological status, laboratory biomarkers, and therapeutic interventions routinely performed in ICU practice.

The primary outcome was 30-day all-cause mortality. Secondary outcomes included 24-hour, 7-day, and 6-month mortality, neurological outcome at hospital discharge, and ICU length of stay. Six-month mortality status was confirmed using hospital records and the national death registry.

A total of 168 eligible patients were identified during the study period. Multivariate logistic regression analysis was performed to identify independent predictors of mortality. No interventions beyond routine clinical care were conducted.

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Conditions studied

  • Post-Resuscitation Syndrome
  • Critical Illness
  • Cardiac Arrest
  • Hypoxic-Ischemic Encephalopathy
  • Coma

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Keywords

  • Cardiac Arrest
  • ROSC
  • In-Hospital Mortality
  • ICU
  • Post-Resuscitation Care
  • Neurological Outcome
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In context

Heart Arrest Reclassified

926 studies on the registry are indexed under Heart Arrest; 226 are open to participants now.

This study's enrollment of 168 is below the median of 200 across 376 observational studies indexed under Heart Arrest.

Browse Heart Arrest studies →

Lead sponsor

This is the only study on the registry with Ahmet Düzgün as lead sponsor.

Compared within Heart Arrest, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Critical Illness. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients (≥18 years old) who achieved return of spontaneous circulation (ROSC) after cardiac arrest and were admitted to the intensive care unit (ICU) at Gazi Yaşargil Training and Research Hospital, Turkey. Patients are consecutively enrolled and observed for outcomes related to in-hospital and 6-month mortality.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 18 years
  • Achieved return of spontaneous circulation (ROSC) after cardiac arrest
  • Admitted to the intensive care unit (ICU)
  • obtained from patient or legal representative (if applicable)

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Known pregnancy
  • Brain death at the time of ICU admission
  • Patients with missing key clinical or laboratory data
  • Declined participation or legal refusal
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
168 participants (actual)
Patient registry
No

Groups and cohorts

  • ROSC Cohort

    Adult patients (≥18 years old) who achieved return of spontaneous circulation (ROSC) after cardiac arrest and were admitted to the intensive care unit. These patients are prospectively followed to evaluate clinical and biochemical predictors of in-hospital mortality.

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What researchers measure

Primary outcomes

  1. 30-Day Mortality

    All-cause mortality within 30 days of ICU admission following ROSC.

    Time frame: 30 days after ICU admission

Secondary outcomes

  1. In-Hospital Mortality

    All-cause mortality recorded during the index hospital stay following return of spontaneous circulation (ROSC).

    Time frame: From ICU admission to hospital discharge (up to 60 days)

  2. 6-Month Mortality

    All-cause mortality assessed at 6 months following the initial cardiac arrest event. Mortality status is confirmed through hospital records and national death registry.

    Time frame: 6 months after ICU admission

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Results

Posted May 8, 2026
Limitations and caveats
This study is limited by its retrospective single-center design. Adverse events were not systematically collected. Residual confounding cannot be excluded.

Participant flow

A total of 168 adult patients admitted to the intensive care unit after return of spontaneous circulation following cardiac arrest were included in this retrospective cohort study.

Participant flow — Overall Study
MilestoneOverall Cohort
Started168
Completed168
Not completed0

Outcome measures

Primary30-Day Mortality

All-cause mortality within 30 days of ICU admission following ROSC.

Time frame:
30 days after ICU admission
Reported as:
Number · participants
30-Day Mortality
participantsOverall Cohort
30-Day Mortality112
SecondaryIn-Hospital Mortality

All-cause mortality recorded during the index hospital stay following return of spontaneous circulation (ROSC).

Time frame:
From ICU admission to hospital discharge (up to 60 days)
Reported as:
Number · participants
In-Hospital Mortality
participantsOverall Cohort
In-Hospital Mortality87
Secondary6-Month Mortality

All-cause mortality assessed at 6 months following the initial cardiac arrest event. Mortality status is confirmed through hospital records and national death registry.

Time frame:
6 months after ICU admission
Reported as:
Number · participants
6-Month Mortality
participantsOverall Cohort
6-Month Mortality130

Adverse events

Collected over Up to 180 days after ICU admission. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Overall Cohort130/168 (77.4%)0/168 (0%)0/168 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Overall Cohort
Mean69.5 ± 16.2
Sex: Female, Male
Sex: Female, Male(Participants)Overall Cohort
Female77
Male91
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Overall Cohort
APACHE II score
APACHE II score(score)Overall Cohort
Mean24.3 ± 6.3
SOFA score
SOFA score(score)Overall Cohort
Mean8.6 ± 2.5
SAPS 3 score
SAPS 3 score(score)Overall Cohort
Mean83.6 ± 16.4
Charlson Comorbidity Index
Charlson Comorbidity Index(score)Overall Cohort
Mean5.5 ± 2.3
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Study locations

1 site
  • Gazi Yaşargil Training and Research Hospital
    Diyarbakır, Kayapinar 21070, Turkey (Türkiye)
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — At this stage, no final decision has been made regarding individual participant data (IPD) sharing. The possibility of sharing anonymized IPD will be evaluated after the study is completed and initial results are published, taking into account ethical, legal, and institutional considerations.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT07020091
Lead sponsor
Ahmet Düzgün
Responsible party
Ahmet Düzgün (Specialist in Internal Medicine and Intensive Care, Saglik Bilimleri Universitesi Gazi Yasargil Training and Research Hospital) — Sponsor-investigator
First posted
Jun 13, 2025
Start date
May 1, 2024
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Results posted
May 8, 2026
Last update
May 8, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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