%0 Journal Article
%T Outcomes of an extracorporeal cardiopulmonary resuscitation (ECPR) program for in- and out-of-hospital cardiac arrest in a tertiary hospital in Spain.
%A Martínez-Martínez M
%A Vidal-Burdeus M
%A Riera J
%A Uribarri A
%A Gallart E
%A Milà L
%A Torrella P
%A Buera I
%A Chiscano-Camon L
%A García Del Blanco B
%A Vigil-Escalera C
%A Barrabés JA
%A Llaneras J
%A Ruiz-Rodríguez JC
%A Mazo C
%A Morales J
%A Ferrer R
%A Ferreira-Gonzalez I
%A Argudo E
%J Med Intensiva (Engl Ed)
%V 0
%N 0
%D 2024 Aug 2
%M 39097479
暂无%R 10.1016/j.medine.2024.06.021
%X <B>OBJECTIVE: </B>To analyze if the implementation of a multidisciplinary extracorporeal cardiopulmonary resuscitation (ECPR) program in a tertiary hospital in Spain is feasible and could yield survival outcomes similar to international published experiences.<BR><B>METHODS: </B>Retrospective observational cohort study.<BR><B>METHODS: </B>One tertiary referral university hospital in Spain.<BR><B>METHODS: </B>All adult patients receiving ECPR between January 2019 and April 2023.<BR><B>METHODS: </B>Prospective collection of variables and follow-up for up to 180 days.<BR><B>METHODS: </B>To assess outcomes, survival with good neurological outcome defined as a Cerebral Performance Categories scale 1-2 at 180 days was used. Secondary variables were collected including demographics and comorbidities, cardiac arrest and cannulation characteristics, ROSC, ECMO-related complications, survival to ECMO decannulation, survival at Intensive Care Unit (ICU) discharge, survival at 180 days, neurological outcome, cause of death and eligibility for organ donation.<BR><B>RESULTS: </B>Fifty-four patients received ECPR, 29 for OHCA and 25 for IHCA. Initial shockable rhythm was identified in 27 (50%) patients. The most common cause for cardiac arrest was acute coronary syndrome [29 (53.7%)] followed by pulmonary embolism [7 (13%)] and accidental hypothermia [5 (9.3%)]. Sixteen (29.6%) patients were alive at 180 days, 15 with good neurological outcome. Ten deceased patients (30.3%) became organ donors after neuroprognostication.<BR><B>CONCLUSIONS: </B>The implementation of a multidisciplinary ECPR program in an experienced Extracorporeal Membrane Oxygenation center in Spain is feasible and can lead to good survival outcomes and valid organ donors.