Acute cardiac care & resuscitation
Trends and institutional patterns of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest in Korea: a nationwide analysis, 2016–2023
Authors' conclusion
In Korea, the annual number of ECPR cases for OHCA has increased, but its application remains selective and concentrated in a limited number of institutions.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) patients who received CPR, nationwide emergency department (ED) data, Korea, 2016–2023
- Participants
- 104,818 patients
- Exposure
- ECPR vs conventional CPR
- ECPRn = 724
- Outcome
- ECPR use
Methodological detailsdescriptive, time-series components, nationwide, Core centres geographically clustered; several regions lacked access to any such facility
- Descriptive
- Time-series components
- Nationwide
- Core centres geographically clustered; several regions lacked access to any such facility
Main finding
As reported in the abstract
- Underwent ECPR
- 724 (0.69%)
- ECPR cases 2016
- 52
- ECPR cases 2023
- 111
- Annual ECPR proportion plateaued
- ≈0.7%
- Performed at higher-level EDs
- 53.2%
- Hospitals meeting core-centre criteria
- 16
Observational data: associations, not effects.
Further findings
Crude survival to hospital discharge
Age
Crude survival to hospital discharge
- No significant survival trend
Age
- ECPR recipients had fewer comorbidities
Original publication
Trends and institutional patterns of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest in Korea: a nationwide analysis, 2016–2023. Resuscitation. Published 20 June 2025. doi:10. 1016/ j. resuscitation. 2025. 110692
Summarised from the published abstract; every number is checked against it