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Extracorporeal cardiopulmonary resuscitation among patients with out-of-hospital cardiac arrest
- Source :
- Clinical and Experimental Emergency Medicine
- Publication Year :
- 2016
- Publisher :
- The Korean Society of Emergency Medicine, 2016.
-
Abstract
- Objective Extracorporeal cardiopulmonary resuscitation (ECPR) may be considered as a rescue therapy for patients with refractory cardiac arrest. Identifying patients who might benefit from this potential life-saving procedure is crucial for implementation of ECPR. The objective of this study was to estimate the number of patients who fulfilled a hypothetical set of ECPR criteria and to evaluate the outcome of ECPR candidates treated with conventional cardiopulmonary resuscitation. Methods We performed an observational study using data from a prospective registry of consecutive adults (≥18 years) with non-traumatic out-of-hospital cardiac arrest in a tertiary hospital between January 2011 and December 2015. We developed a hypothetical set of ECPR criteria including age ≤75 years, witnessed cardiac arrest, no-flow time ≤5 minutes, low-flow time ≤30 minutes, refractory arrest at emergency department >10 minutes, and no exclusion criteria. The primary endpoint was the proportion of good neurologic outcome of ECPR-eligible patients. Results Of 568 out-of-hospital cardiac arrest cases, 60 cases (10.6%) fulfilled our ECPR criteria. ECPR was performed for 10 of 60 ECPR-eligible patients (16.7%). Three of the 10 patients with ECPR (30.0%), but only 2 of the other 50 patients without ECPR (4.0%) had a good neurologic outcome at 1 month. Conclusion ECPR implementation might be a rescue option for increasing the probability of survival in potentially hopeless but ECPR-eligible patients.
- Subjects :
- Out-of-hospital cardiac arrest
Cardiopulmonary resuscitation
medicine.medical_specialty
Extracorporeal membrane oxygenation
business.industry
medicine.medical_treatment
030208 emergency & critical care medicine
Emergency department
030204 cardiovascular system & hematology
Emergency Nursing
03 medical and health sciences
0302 clinical medicine
Refractory
Emergency medicine
Emergency Medicine
medicine
Clinical endpoint
Original Article
Extracorporeal cardiopulmonary resuscitation
Observational study
business
Intensive care medicine
Clinical death
Subjects
Details
- ISSN :
- 23834625
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Clinical and Experimental Emergency Medicine
- Accession number :
- edsair.doi.dedup.....a21b3bfe874318d6d19c00c3ace10676