Potential Candidates for a Structured Canadian ECPR Program for Out-of-Hospital Cardiac Arrest
Potential Candidates for a Structured Canadian ECPR Program for Out-of-Hospital Cardiac Arrest
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DOI：
10.1017/cem.2016.8
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发表时间：
2016-11-01
影响因子：
2.4
通讯作者：
Christenson, Jim
中科院分区：
文献类型：
--
作者：
Grunau, Brian;Scheuermeyer, Frank Xavier;Christenson, Jim
目的：体外心肺复苏（ECPR）虽然是资源密集型的，但可以改善选定的难治性院外心脏骤停（OHCA）患者的结局。我们试图确定符合一组ECPR标准的患者，以估计：（1）可能从ECPR中受益的难治性心脏骤停患者的比例;（2）常规复苏取得的结果。我们对一项52个月的前瞻性登记研究进行了二次分析，创伤性OHCA病例来自为100万患者提供服务的加拿大城市卫生区域。我们建立了一个假设的ECPR合格队列，包括成人患者
Objective: Extracorporeal cardiopulmonary resuscitation (ECPR), while resource-intensive, may improve outcomes in selected patients with refractory out-of-hospital cardiac arrest (OHCA). We sought to identify patients who fulfilled a set of ECPR criteria in order to estimate: (1) the proportion of patients with refractory cardiac arrest who may have benefited from ECPR; and (2) the outcomes achieved with conventional resuscitation.Methods: We performed a secondary analysis from a 52-month prospective registry of consecutive adult non-traumatic OHCA cases from a single urban Canadian health region serving one million patients. We developed a hypothetical ECPR-eligible cohort including adult patients