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

ResuscitationPublished Cross-sectional study

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

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