Cardiac arrest & resuscitation
Prevalence and geographic features of patients eligible for extracorporeal cardiopulmonary resuscitation
Authors' conclusion
A significant proportion of OHCAs were eligible for ECPR based on prehospital criteria. Utilizing GIS to map and analyze ECPR patients provided insights into the locations of these events and the SDoH that may be driving risk in these places.
Study context
- Population
- Adults with of Hospital Cardiac Arrests (OHCA) transported by emergency medical service (EMS) to an urban medical centre, January 1, 2016 to December 31, 2020EMS transports for OHCA
- Participants
- 670 adults
- Outcome
- Proportion of OHCA eligible for ECPR (age 18-65, initial shockable rhythm, no ROSC within initial defibrillations)
Methodological detailssingle urban medical centre, Geographic Information Systems (GIS) cluster detection
- Single urban medical centre
- GIS cluster detection
Main finding
As reported in the abstract
Eligibility for ECPR
OHCA meeting Extracorporeal Cardiopulmonary Resuscitation (ECPR) inclusion criteria
12.7%
85/670
Observational data: associations, not effects.
Further findings
Geographic distribution and social vulnerability (CDC Social Vulnerability Index (SVI)) of ECPR-eligible OHCA
- Appropriate addresses for geocoding
- 90% (77/85)
- Geographic clusters detected (2 residential, 1 public use area of downtown Cleveland)
- 3
- SVI of cluster locations
- 0.79
- Events in neighbourhoods with highest social vulnerability (SVI ≥ 0.9)
- 32/77, 41.5%
- SVI ranges 0-1; higher = more vulnerable
Original publication
Prevalence and geographic features of patients eligible for extracorporeal cardiopulmonary resuscitation. Resuscitation. Published 18 May 2023. doi:10. 1016/ j. resuscitation. 2023. 109837
Composed by AI from the published abstract and checked against it. How Briefs are made →