Evaluation of extracorporeal cardiopulmonary resuscitation eligibility criteria for out-of-hospital cardiac arrest patients

BMC Research Notes

Brendan Lee¹  Eric Sy²  Adam Clay³ 

[1] College of Medicine, University of Saskatchewan, Regina General Hospital, 1440 - 14th Avenue, S4P 0W5, Regina, SK, Canada;College of Medicine, University of Saskatchewan, Regina General Hospital, 1440 - 14th Avenue, S4P 0W5, Regina, SK, Canada;Department of Critical Care, Regina General Hospital, 1440–14th Avenue, S4P 0W5, Regina, SK, Canada;Research Department, Saskatchewan Health Authority, Wascana Rehabilitation Centre, 2180 - 23 Ave, S4S 0A5, Regina, SK, Canada;Department of Academic Family Medicine, University of Saskatchewan, 1621 Albert St #172, S4P 2S5, Regina, SK, Canada;

关键词: Extracorporeal membrane oxygenation (ECMO);    Cardiopulmonary resuscitation (CPR);    Out-of-hospital cardiac arrest (OHCA);    Resuscitation;   

DOI  :  10.1186/s13104-021-05564-1

来源: Springer

【 摘 要 】

ObjectivesTo evaluate the number of out-of-hospital cardiac arrest (OHCA) patients eligible for extracorporeal cardiopulmonary resuscitation (ECPR) in Saskatchewan and their clinical outcomes, including survival and neurological outcomes at discharge. ECPR eligibility was assessed, using clinical criteria from the University of British Columbia (UBC, Canada), University of Michigan (UM, United States), University of California (UC, United States) and a restrictive ECPR criteria.ResultsWe performed a retrospective cohort study of 200 OHCA patients (August 1, 2017-May 31, 2019) in Regina, Saskatchewan. Sixty-one (30%) were female, the median age was 64 years (interquartile range [IQR], 52–78), the median CPR duration was 30 min (IQR 12–47), and 20% survived to discharge. Two (1%) patients received ECPR but did not meet any ECPR criteria. Nineteen (10%), thirty (15%), twenty-two (11%), and seven (4%) patients were ECPR-eligible, using the UBC, UM, UC, and restrictive criteria. However, none of these patients had received ECPR. Only two (11%), two (7%), two (9%), and one (14%) of these patient(s) survived to discharge, respectively. Neurological outcomes were unfavourable among all ECPR-eligible patients. Future study at our centre will be necessary on how to implement ECPR program to further improve these outcomes.

【 授权许可】

CC BY