{Reference Type}: Journal Article
{Title}: Outcomes of an extracorporeal cardiopulmonary resuscitation (ECPR) program for in- and out-of-hospital cardiac arrest in a tertiary hospital in Spain.
{Author}: Martínez-Martínez M;Vidal-Burdeus M;Riera J;Uribarri A;Gallart E;Milà L;Torrella P;Buera I;Chiscano-Camon L;García Del Blanco B;Vigil-Escalera C;Barrabés JA;Llaneras J;Ruiz-Rodríguez JC;Mazo C;Morales J;Ferrer R;Ferreira-Gonzalez I;Argudo E;
{Journal}: Med Intensiva (Engl Ed)
{Volume}: 0
{Issue}: 0
{Year}: 2024 Aug 2
暂无{DOI}: 10.1016/j.medine.2024.06.021
{Abstract}: <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.