Cardiac arrest & resuscitation
Intra-aortic balloon pump use in out-of-hospital cardiac arrest patients who underwent extracorporeal cardiopulmonary resuscitation
Main finding · Favourable neurological outcome among survivorsResult — go to the resultAdjusted odds ratio 1.22 95% CI 0.79–1.89Authors' conclusion
The use of IABP in patients with OHCA who underwent ECPR was associated with 30-day survival. Among survived patients, there was no significant association between IABP use and 30-day neurological outcome.
Study context
- Population
- Adults (≥18 years) with out-of-hospital cardiac arrest (OHCA) who underwent ECPR, Japanese OHCA registry, June 2014–December 2019842 matched
- Participants
- 2,135 adults
- Exposure
- Intra-aortic balloon pump (IABP) vs no IABP after ECPR
- IABPn = 1,173
- Outcome
- Favourable neurological outcome in survived patients
- Follow-up
- 30 days
Methodological detailspropensity-score matched, registry-based
- Propensity-score matched
- Registry-based
Main finding
Favourable neurological outcome among survivors
Adjusted odds ratio
1.22
95% CI 0.79–1.89
P = 0.36
IABP vs No IABP
aOR 1.22 (95% CI 0.79–1.89); P = 0.36
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | aOR (95% CI) | P value | |
|---|---|---|---|
| Survival · 30 days842 matched patients · matched cohort | 1.98 (1.39–2.83) | P < 0.001 | |
| 0.20.5125Adjusted odds ratio (log scale) |
Original publication
Intra-aortic balloon pump use in out-of-hospital cardiac arrest patients who underwent extracorporeal cardiopulmonary resuscitation. Resuscitation. Published 5 December 2022. doi:10.
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