Cardiac arrest & resuscitation

Regional Cerebral Oxygen Saturation to Predict Favorable Outcome in Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis of observational studies

Pooled result · MortalityResult — go to the resultRisk difference −0.30 95% CI −0.47 to −0.14

Authors' conclusion

A low rSO2 before starting ECPR could be a predictor of mortality and survival with poor neurologic outcomes.

Study context

Population
Adult in-hospital and out-of-hospital cardiac arrest patients receiving extracorporeal cardiopulmonary resuscitation (ECPR)
Participants
245 participants · 3 observational studies
Comparison
High vs low precannulation rSO2
  • High rSO2n = 151
  • Low rSO2n = 94reference
Outcome
Mortality
Methodological detailssubgroup analysis
  • Subgroup analysis

Pooled result

As reported in the abstract

Risk difference

−0.30

95% CI −0.47 to −0.14

Events by group

High rSO2 vs Low rSO2
risk difference −0.30 (95% CI −0.47 to −0.14)

Further pooled results

Mortality, OHCA (subgroup) · estimate printed without sign

RD 0.30 (−0.48 to −0.12)

OutcomeHigh rSO2Low rSO2RD (95% CI)
Good neurologic outcome27.8%2.12%0.22 (0.13–0.31)
Good neurologic outcome, OHCA (subgroup)27.3%2.25%0.21 (0.11–0.30)

Original publication

Regional Cerebral Oxygen Saturation to Predict Favorable Outcome in Extracorporeal Cardiopulmonary Resuscitation: A Systematic Review and Meta-Analysis. J Cardiothorac Vasc Anesth. Published 9 January 2023. doi:10.1053/j.jvca.2023.01.007

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