Cardiac arrest & resuscitation
Eligibility for Extracorporeal Cardio‐Pulmonary Resuscitation in Out‐of‐Hospital Cardiac Arrests in Sweden
Authors' conclusion
The quantity of ECPR-eligible patients amongst OHCA is highly dependent on selection criteria and geographics. In Sweden, we estimate an annual incidence of 46-267 potential candidates per 10.5 M inhabitants, corresponding to 1.4%-7.8% of all witnessed OHCA.
Study context
- Population
- Witnessed Out-of-hospital Cardiac Arrest (OHCA) in Sweden, Swedish Registry for Cardiopulmonary Resuscitation, Jan 2015–Aug 2019witnessed OHCA
- Participants
- 15,911 participants
- Exposure
- Restrictive vs liberal Extracorporeal Cardio-Pulmonary Resuscitation (ECPR) selection criteria
- Group Restrictive (GR)n = 1,519
- Group Liberal (GL)n = 5,851
- Outcome
- ECPR eligibility (selection criteria, no-flow time ≤5 min, transport time ≤40 min)
Methodological detailsnational registry, geographic transport-time analysis
- National registry
- Geographic transport-time analysis
Main finding
As reported in the abstract
ECPR-eligible cases after excluding extended transport time
GR
218
events
GL
1246
events
Observational data: associations, not effects.
Further findings
Events
| Outcome | GR | GL |
|---|---|---|
| ECPR candidates after excluding ROSC at admission | 636 | 3558 |
ECPR-ineligible due to extended no-flow time (all witnessed OHCA)
- ECPR-ineligible due to no-flow time >5 min
- 6372
Original publication
Eligibility for Extracorporeal Cardio‐Pulmonary Resuscitation in Out‐of‐Hospital Cardiac Arrests in Sweden. Acta Anaesthesiol Scand. Published 11 December 2025. doi:10.
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