Cardiac arrest & resuscitation

Prevalence and geographic features of patients eligible for extracorporeal cardiopulmonary resuscitation

ResuscitationPublished Retrospective cross-sectional geospatial study

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 →

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