Retrospective analysis of extracorporeal cardiopulmonary resuscitation in 40 out-of-hospital cardiac arrest adults
10.3760/cma.j.issn.1671-0282.2022.12.008
- VernacularTitle:40例体外膜肺氧合辅助心肺复苏治疗成人院外心脏骤停的回顾性分析
- Author:
Huazhong ZHANG
1
;
Yong MEI
;
Jinru LV
;
Deliang HU
;
Feng SUN
;
Wei LI
;
Gang ZHANG
;
Jinsong ZHANG
;
Xufeng CHEN
Author Information
1. 南京医科大学第一附属医院急诊中心，南京 210029
- Keywords:
Extracorporeal cardiopulmonary resuscitation;
Out-of-hospital cardiac arrest;
Retrospective analysis
- From:
Chinese Journal of Emergency Medicine
2022;31(12):1618-1622
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience and effect of extracorporeal cardiopulmonary resuscitation (ECPR) in the treatment of out-of-hospital cardiac arrest (OHCA) in adults.Methods:The data of 40 adults with OHCA-ECPR in Emergency Department of the First Affiliated Hospital of Nanjing Medical University from April 2015 to April 2022 were retrospectively analyzed. The patients were grouped by discharge survival/in-hospital death, with/without bystander resuscitation, and with/without interhospital transport. Age, sex, Charlson comorbidity index, initial rhythm, no-flow time, time from cardiac arrest to extracorporeal membrane oxygenation (ECMO) initiation (CA-Pump On time), ECMO evacuation success rate, survival rate, ECMO treatment time, time-to-death, and length of hospital stay were analyzed.Results:①Among the 40 patients with OHCA-ECPR, 9 patients (22.5%) survived upon discharge, 7 (77.8%) of whom had good neurological outcomes.②The no-flow time in the survival group was significantly shorter than that in the death group, and the proportion of shockable initial rhythm was higher.③Bystander resuscitation greatly shortened the no-flow time.④The regional OHCA-ECPR interhospital transport extended the CA-Pump On time, without affecting patients’ prognosis.Conclusions:ECPR improves the prognosis of patients with OHCA. Bystander resuscitation greatly shortens the no-flow time. ECPR is significantly effective in patients with short no-flow time and shockable initial rhythm. Regional interhospital transport ECPR is recommended to benefit more patients with OHCA.
