Acute cardiac care & resuscitation
Outcomes of extracorporeal life support in hypothermic cardiac arrest: Revisiting Extracorporeal Life Support Organization (ELSO) guidelines
Authors' conclusion
Qualification of patients with hypothermic cardiac arrest for ECLS rewarming should not be strictly based on guidelines for normothermic cardiac arrest, as this may result in not initiating potentially life-saving treatment for patients who could have favourable prognoses for survival with good neurological outcomes.
Study context
- Population
- Patients with hypothermic cardiac arrest (HCA) treated with extracorporeal life support (ECLS)
- Participants
- 127 patients
- Exposure
- ECLS in HCA patients meeting vs not meeting ELSO eligibility criteria
- Meeting ELSO criterian = 62reference
- Not meeting ELSO criterian = 65
- Outcome
- Survival to hospital discharge and favourable neurological outcome
- Follow-up
- Hospital discharge
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Survival to hospital discharge
| Group | Value | Favourable neurological outcome among survivors |
|---|---|---|
| Met ELSO criteria | 61 % | 34 (89 %) |
| Not meeting ELSO criteria | 37 % | 20 (83 %) |
Value
Met ELSO criteria61 %
Not meeting ELSO criteria37 %
Favourable neurological outcome among survivors
Met ELSO criteria34 (89 %)
Not meeting ELSO criteria20 (83 %)
Observational data: associations, not effects.
Further findings
Survival by number of ELSO criteria not met (subgroup) · hospital discharge
Favourable neurological outcome among survivors
Survival by number of ELSO criteria not met (subgroup) · hospital discharge
- The two patients who failed to meet all three ELSO criteria did not survive
Original publication
Outcomes of extracorporeal life support in hypothermic cardiac arrest: Revisiting ELSO guidelines. Resuscitation. Published 5 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →