Cardiac arrest & resuscitation
Implementation of a Multidisciplinary Team for Initiation of Extracorporeal Cardiopulmonary Resuscitation in Patients Presenting After Out-of-hospital Cardiac Arrest
Authors' conclusion
The organization and implementation of a multidisciplinary institutional ECPR response team trended toward an association with higher rates of survival to hospital discharge, with favorable neurologic function in patients presenting to the emergency department after OHCA.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) patients who received extracorporeal cardiopulmonary resuscitation (ECPR) after presenting to the ED, single-centre US urban university hospital, May 2013 to December 2022
- Participants
- 55 patients
- Exposure
- ECMO Shock Team activation vs ad hoc emergent ECPR support
- Ad hoc ECPRn = 9reference
- ECMO Shock Team (ECMO-ST)n = 46
- Outcome
- Survival to hospital discharge
Methodological detailssingle-centre, before-after (preintervention vs ECMO-ST)
- Single-centre
- Before-after (preintervention vs ECMO-ST)
Main finding
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
Favorable neurologic function (cerebral performance category 1-2) among those discharged
- Favorable neurologic function among survivors to discharge
- 69%
Original publication
Implementation of a Multidisciplinary Team for Initiation of Extracorporeal Cardiopulmonary Resuscitation in Patients Presenting After Out-of-hospital Cardiac Arrest. J Cardiothorac Vasc Anesth. Published 15 February 2025. doi:10.
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