Acute cardiac care & resuscitation
Initial hospital length of stay and long-term survival of patients successfully resuscitated using extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest
Authors' conclusion
This data suggest that the lengthy index hospitalization required to manage OHCA patients with ECPR is rewarded by excellent long-term clinical outcomes in an expert ECPR programme.
Study context
- Population
- Patients with refractory VT/VF out-of-hospital cardiac arrest (OHCA) treated with extracorporeal cardiopulmonary resuscitation (ECPR), 2016–2020160 underwent VA-ECMO cannulation
- Participants
- 193 patients
- Outcome
- Hospital length of stay and long-term survival of ECPR survivors
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
| Group | Value | Survived index admission | ICU stay (survivors) | Total hospital stay (survivors) | Alive at 1 year | Alive at 4 years | Median follow-up (survivors) |
|---|---|---|---|---|---|---|---|
| ECPR | 33.7% | 54 (33.7%) | median 16 days | median 24 days | 79.6% | 72.2% | 1216 (683, 1461) days |
ECPR
Value33.7%
Survived index admission54 (33.7%)
ICU stay (survivors)median 16 days
Total hospital stay (survivors)median 24 days
Alive at 1 year79.6%
Alive at 4 years72.2%
Median follow-up (survivors)1216 (683, 1461) days
Observational data: associations, not effects.
Further findings
4-year overall survival vs left ventricular assist device (LVAD) and heart transplant cohorts (sensitivity analysis)
- Similar in ECPR and LVAD cohorts
- P = 0.30
- Significantly higher for transplant recipients
- P < 0.001
Original publication
Initial hospital length of stay and long-term survival of patients successfully resuscitated using extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest. Eur Heart J Acute Cardiovasc Care. Published 7 November 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →