Outcomes of an extracorporeal cardiopulmonary resuscitation (ECPR) program for in- and out-of-hospital cardiac arrest in a tertiary hospital in Spain.
Med Intensiva (Engl Ed)
; 48(10): 565-574, 2024 10.
Article
en En
| MEDLINE
| ID: mdl-39097479
ABSTRACT
OBJECTIVE:
To analyze if the implementation of a multidisciplinary extracorporeal cardiopulmonary resuscitation (ECPR) program in a tertiary hospital in Spain is feasible and could yield survival outcomes similar to international published experiences.DESIGN:
Retrospective observational cohort study.SETTING:
One tertiary referral university hospital in Spain. PATIENTS All adult patients receiving ECPR between January 2019 and April 2023.INTERVENTIONS:
Prospective collection of variables and follow-up for up to 180 days. MAIN VARIABLES OF INTEREST To assess outcomes, survival with good neurological outcome defined as a Cerebral Performance Categories scale 1-2 at 180 days was used. Secondary variables were collected including demographics and comorbidities, cardiac arrest and cannulation characteristics, ROSC, ECMO-related complications, survival to ECMO decannulation, survival at Intensive Care Unit (ICU) discharge, survival at 180 days, neurological outcome, cause of death and eligibility for organ donation.RESULTS:
Fifty-four patients received ECPR, 29 for OHCA and 25 for IHCA. Initial shockable rhythm was identified in 27 (50%) patients. The most common cause for cardiac arrest was acute coronary syndrome [29 (53.7%)] followed by pulmonary embolism [7 (13%)] and accidental hypothermia [5 (9.3%)]. Sixteen (29.6%) patients were alive at 180 days, 15 with good neurological outcome. Ten deceased patients (30.3%) became organ donors after neuroprognostication.CONCLUSIONS:
The implementation of a multidisciplinary ECPR program in an experienced Extracorporeal Membrane Oxygenation center in Spain is feasible and can lead to good survival outcomes and valid organ donors.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Oxigenación por Membrana Extracorpórea
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Reanimación Cardiopulmonar
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Paro Cardíaco Extrahospitalario
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Centros de Atención Terciaria
País/Región como asunto:
Europa
Idioma:
En
Revista:
Med Intensiva (Engl Ed)
/
Med. intensiva (Barc., Internet, Engl. ed.)
/
Medicina intensiva (Barcelona. Internet. English ed.)
Año:
2024
Tipo del documento:
Article