Cardiac arrest & resuscitation
Assessing feasibility of proposed extracorporeal cardiopulmonary resuscitation programmes for out-of-hospital cardiac arrest in Scotland via geospatial modelling
Authors' conclusion
An ECPR programme for OHCA in Scotland could provide access to ECPR to a modest number of eligible OHCA patients, with pre-hospital ECPR implementation scenarios yielding higher access to ECPR and higher numbers of additional survivors.
Study context
- Population
- Treated out-of-hospital cardiac arrest (OHCAs) aged 16–70 in Scotland, August 2018 to March 2022; Extracorporeal cardiopulmonary resuscitation (ECPR)-eligible: initial rhythm VF, VT or pulseless electrical activity without pre-hospital return of spontaneous circulation1,406 ECPR-eligible
- Participants
- 6,639 participants
- Exposure
- In-hospital vs pre-hospital ECPR implementation scenarios
- Outcome
- OHCAs with call-to-ECPR access time within 45 min (emergency medical service (EMS) call reception to ECPR-ready hospital arrival or pre-hospital ECPR crew arrival)
Methodological detailsregistry-based, in-hospital and pre-hospital implementation scenarios
- Registry-based
- In-hospital and pre-hospital implementation scenarios
Main finding
As reported in the abstract
OHCAs with call-to-ECPR access time within 45 min, across implementation scenarios · per year
OHCAs per year with access within 45 min (range across scenarios)
52.9-112.6
13.8–29.4%
Observational data: associations, not effects.
Further findings
Estimated additional survivors · per year
- Additional survivors per year (range across scenarios)
- 11.8-28.2
- Pre-hospital scenarios yielded higher numbers
Original publication
Assessing feasibility of proposed extracorporeal cardiopulmonary resuscitation programmes for out-of-hospital cardiac arrest in Scotland via geospatial modelling. Resuscitation. Published 26 May 2024. doi:10.
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