Cardiac arrest & resuscitation
Candidacy Decision Making for Extracorporeal Cardiopulmonary Resuscitation (ECPR): Lessons from a Single-Center Retrospective Analysis
Authors' conclusion
We demonstrate an effective process for assessing internal candidacy decision making processes for centers performing ECPR. We identify 5 patterns of inconsistency, propose a Domain-Based Decision-Making model, and share lessons likely applicable to other centers.
Study context
- Population
- Patients for whom ECPR was considered, single quaternary academic center, 2021–2024
- Participants
- 73 consultations
- Exposure
- Candidates vs Noncandidates vs ROSC before decision
- Candidatesn = 14
- Noncandidatesn = 53
- ROSC before decisionn = 6
- Outcome
- Contraindications invoked in noncandidates
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Unique contraindications invoked across all noncandidates
- 20
- Duration of CPR
- 21
- Age
- 17
- Nonshockable rhythm
- 16
- Comorbidities
- 15
- Acidemia
- 11
- Patterns of inconsistency identified (application between candidates and noncandidates; between noncandidates; in young and peri-/postoperative patients; documentation; terminology)
- 5
Observational data: associations, not effects.
Original publication
Candidacy Decision Making for Extracorporeal Cardiopulmonary Resuscitation (ECPR): Lessons from a Single-Center Retrospective Analysis. J Cardiothorac Vasc Anesth. Published 28 April 2025. doi:10.
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