Cardiac arrest & resuscitation

Long-term prognostic significance of gasping in out-of-hospital cardiac arrest patients undergoing extracorporeal cardiopulmonary resuscitation: a post hoc analysis of a multi-center prospective cohort study

J Intensive CarePublished Post hoc analysis of the SAVE-J multicentre prospective cohort study

Primary result · Survival with favorable neurological outcomeResult — go to the resultAOR for favorable neurological outcome 10.58 95% CI 3.22–34.74

Authors' conclusion

Gasping during resuscitation is a favorable factor in patients with refractory VF/pVT.

Study context

Population
OHCA patients with refractory VF/pVT undergoing ECPR, Japanof 454 in SAVE-J
Participants
212 patients
Comparison
Gasping vs no gasping during resuscitation
  • Gaspingn = 47
Primary endpoint
Survival with favorable neurological outcome
Follow-up
6 months
Methodological detailsmultivariate logistic regression
  • Multivariate logistic regression

Primary result

As reported in the abstract

AOR for favorable neurological outcome

10.58

95% CI 3.22–34.74

Events by treatment group

Gasping

23.4%

11 of 47

Gasping vs No gasping
aOR for favorable neurological outcome 10.58 (95% CI 3.22–34.74)

Further findings

OutcomeaOR (95% CI)
Favorable neurological outcome, gasping during EMS transport and on hospital arrival27.44 (5.65–133.41)

Original publication

Long-term prognostic significance of gasping in out-of-hospital cardiac arrest patients undergoing extracorporeal cardiopulmonary resuscitation: a post hoc analysis of a multi-center prospective cohort study. J Intensive Care. Published 6 October 2023. doi:10.1186/s40560-023-00692-1

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