Cardiac arrest & resuscitation
What is the potential benefit of pre-hospital extracorporeal cardiopulmonary resuscitation for patients with an out-of-hospital cardiac arrest? A predictive modelling study
Authors' conclusion
Even in healthcare systems with relatively short transport distances to hospital, consideration should be given to pre-hospital initiation of ECPR for OHCA as it shortens low-flow time and increases the number of potentially eligible patients.
Study context
- Population
- Adults with non-traumatic out-of-hospital cardiac arrest (OHCA) attended by emergency medical services (EMS)200 (32%) eligible on EMS arrival
- Participants
- 622 adults
- Comparison
- Pre-hospital vs in-hospital initiation of extracorporeal cardiopulmonary resuscitation (ECPR)
- Outcome
- Hypothetical number of ECPR-eligible patients as a fraction of all OHCA patients attended by EMS
- Follow-up
- After 10, 15 and 20 minutes of conventional CPR and upon arrival in an ECPR-centre
Methodological detailstemporal spatial analysis of Utstein data, 3 EMS, north of the Netherlands, one-year period
- Temporal spatial analysis of Utstein data
- 3 EMS, north of the Netherlands
- One-year period
Main finding
As reported in the abstract
Potentially ECPR-eligible patients (no ROSC after 15 min, n = 84)
| Group | Value | Average estimated low-flow time before cannulation | Average low-flow time |
|---|---|---|---|
| On-scene ECPR | 13.5% | 24 minutes | |
| Intra-arrest transport | 2.5% | 52 minutes |
Value
On-scene ECPR13.5%
Intra-arrest transport2.5%
Average estimated low-flow time before cannulation
On-scene ECPR24 minutes
Intra-arrest transport— not stated in the abstract
Average low-flow time
On-scene ECPR— not stated in the abstract
Intra-arrest transport52 minutes
- Optimal transition point between conventional CPR and ECPR
- 15 minutes
Original publication
What is the potential benefit of pre-hospital extracorporeal cardiopulmonary resuscitation for patients with an out-of-hospital cardiac arrest? A predictive modelling study. Resuscitation. Published 11 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →