https://scholars.lib.ntu.edu.tw/handle/123456789/560320
標題: | Improved outcome of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest - A comparison with that for extracorporeal rescue for in-hospital cardiac arrest | 作者: | CHIH-HSIEN WANG NAI-KUAN CHOU Becker L.B. JOU-WEI LIN HSI-YU YU NAI-HSIN CHI Hunag S.-C. Ko W.-J. SHOEI-SHEN WANG Tseng L.-J. Lin M.-H. I-HUI WU MATTHEW HUEI-MING MA YIH-SHARNG CHEN |
公開日期: | 2014 | 出版社: | Elsevier Ireland Ltd | 卷: | 85 | 期: | 9 | 起(迄)頁: | 1219-1224 | 來源出版物: | Resuscitation | 摘要: | Purpose: The aim was to investigate the effects of extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) and compare the results with those of in-hospital cardiac arrest (IHCA). Methods: We analyzed our extracorporeal membrane oxygenation (ECMO) results for patients who received ECPR for OHCA or IHCA in the last 5 years. Pre-arrest, resuscitation, and post-resuscitative data were evaluated. Results: In the last 5 years, ECPR was used 230 times for OHCA (n= 31) and IHCA (n= 199). The basic demographic data showed significant differences in age, cardiomyopathy, and location of the initial CPR. Duration of ischemia was shorter in the IHCA group (44.4. ±. 24.7. min vs. 67.5. ±. 30.6. min, p<. 0.05). About 50% of each group underwent a further intervention to treat the underlying etiology. ECMO was maintained for a shorter duration in the OHCA patients (61. ±. 48. h vs. 94. ±. 122. h, p<. 0.05). Survival to discharge was similar in the two groups (38.7% for OHCA vs. 31.2% for IHCA, p>. 0.05), as was the favorable outcome rate (25.5% for OHCA vs. 25.1% for IHCA, p>. 0.05). Survival was acceptable (about 33%) in both groups when the duration of ischemia was no longer than 75. min. Conclusions: In addition to having a beneficial effect in IHCA, ECPR can lead to survival and a positive neurological outcome in selected OHCA patients after prolonged resuscitation. Our results suggest that further investigation of the use of ECMO in OHCA is warranted. ? 2014 Elsevier Ireland Ltd. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906053495&doi=10.1016%2fj.resuscitation.2014.06.022&partnerID=40&md5=55c5c2bfd15c47c38bbb7c360a8240ac https://scholars.lib.ntu.edu.tw/handle/123456789/560320 |
ISSN: | 0300-9572 | DOI: | 10.1016/j.resuscitation.2014.06.022 | SDG/關鍵字: | catecholamine; acute coronary syndrome; adult; aorta dissection; aorta rupture; article; cardiac patient; cardiomyopathy; comparative study; congestive cardiomyopathy; consciousness; controlled study; electric shock; emergency patient; extracorporeal oxygenation; female; heart arrest; heart catheterization; heart muscle ischemia; heart muscle revascularization; heart transplantation; heart ventricle fibrillation; heart ventricle tachycardia; human; implantation; in hospital cardiac arrest; inotropism; lung embolism; major clinical study; male; observational study; out of hospital cardiac arrest; overall survival; priority journal; prospective study; resuscitation; survival; ventricular assist device; middle aged; Out-of-Hospital Cardiac Arrest; procedures; treatment outcome; age; aged; Article; cannulation; carbon monoxide intoxication; catheterization; clinical trial; computer assisted tomography; disease duration; extracorporeal cardiopulmonary resuscitation; heart arrest; hypovolemia; in hospital cardiac arrest; induced hypothermia; ischemia; myocarditis; out of hospital cardiac arrest; Cardiopulmonary Resuscitation; Extracorporeal Membrane Oxygenation; Female; Humans; Male; Middle Aged; Out-of-Hospital Cardiac Arrest; Prospective Studies; Treatment Outcome |
顯示於: | 醫學系 |
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