Accredited cardiac arrest centers facilitate eCPR and improve neurological outcome

Voß, F; Thevathasan, T; Scholz, KH; Böttiger, BW; Scheiber, D; Kabiri, P; Bernhard, M; Kienbaum, P; Jung, C; Westenfeld, R; Skurk, C; Adler, C; Kelm, M

doi:10.1016/j.resuscitation.2023.110069

Cardiac arrest & resuscitation

Accredited cardiac arrest centers facilitate eCPR and improve neurological outcome

ResuscitationPublished 5 Dec 2023Retrospective cohort study

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Authors' conclusion

CAC accreditation is linked to higher rates of favorable neurological outcome and unchanged overall survival.

Study context

Population: Patients after out-of-hospital cardiac arrest (OHCA) at three university hospitals in Germany
Participants: 784 patients

Exposure: After vs before Cardiac Arrest Centers (CAC) accreditation
Before CAC accreditationn = 368reference
After CAC accreditationn = 416
Outcome: Survival until discharge and favourable neurological status (CPC 1 or 2) at discharge
Follow-up: Discharge

Methodological detailsmulticentre, 3 university hospitals, before-after comparison

Multicentre
3 university hospitals
Before-after comparison

Main finding

As reported in the abstract

Favourable neurological status

P < 0.01

Before CAC accreditation71%

After CAC accreditation87%

Survival

Before CAC accreditation35%

After CAC accreditation35%

After CAC accreditation vs Before CAC accreditation: P > 0.99 — overall survival

Observational data: associations, not effects.

Further findings

Immediate PCI

P = 0.01

Before CAC accreditation40%

After CAC accreditation52%

Extracorporeal CPR

P < 0.05

Before CAC accreditation8%

After CAC accreditation13%

Original publication

Accredited cardiac arrest centers facilitate eCPR and improve neurological outcome. Resuscitation. Published 5 December 2023. doi:10.1016/j.resuscitation.2023.110069

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