https://scholars.lib.ntu.edu.tw/handle/123456789/560286
標題: | Effect of interplay between age and low-flow duration on neurologic outcomes of extracorporeal cardiopulmonary resuscitation | 作者: | HSI-YU YU CHIH-HSIEN WANG NAI-HSIN CHI SHU-CHIEN HUANG HENG-WEN CHOU NAI-KUAN CHOU YIH-SHARNG CHEN |
公開日期: | 2019 | 出版社: | Springer Verlag | 卷: | 45 | 期: | 1 | 起(迄)頁: | 44-54 | 來源出版物: | Intensive Care Medicine | 摘要: | Purpose: Caseloads of extracorporeal cardiopulmonary resuscitation (ECPR) have increased considerably, and hospital mortality rates remain high and unpredictable. The present study evaluated the effects of the interplay between age and prolonged low-flow duration (LFD) on hospital survival rates in elderly patients to identify subgroups that can benefit from ECPR. Methods: Adult patients who received ECPR in our institution (2006–2016) were classified into groups 1, 2, and 3 (18–65, 65–75, and > 75 years, respectively). Data regarding ECPR and adverse events during hospitalization were collected prospectively. The primary end point was favorable neurologic outcome (cerebral performance category 1 or 2) at hospital discharge. Results: In total, 482 patients were divided into groups 1, 2, and 3 (70.5%, 19.3%, and 10.2%, respectively). LFDs were comparable among the groups (40.3, 41.0, and 44.3 min in groups 1, 2, and 3, P = 0.781, 0.231, and 0.382, respectively). Favorable neurologic outcome rates were nonsignificantly lower in group 3 than in the other groups (27.6%, 24.7%, and 18.4% for group 1, 2, and 3, respectively). Subgroup analysis revealed that the favorable neurologic outcome rates in group 1 were 36.7%, 25.4%, and 13.0% for LFDs of < 30, 30–60, and > 60 min, respectively (P = 0.005); in group 2, they were 32.1%, 21.2%, and 23.1%, respectively (P = 0.548); in group 3 they were 25.0%, 20.8%, and 0.0%, respectively (P = 0.274). Conclusion: On emergency consultation for ECPR, age and low-flow duration should be considered together to predict neurologic outcome. © 2018, The Author(s). |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058134125&doi=10.1007%2fs00134-018-5496-y&partnerID=40&md5=04dd05588708cbc3f97eb3baa8ea276c https://scholars.lib.ntu.edu.tw/handle/123456789/560286 |
ISSN: | 0342-4642 | DOI: | 10.1007/s00134-018-5496-y |
顯示於: | 醫學系 |
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