Extracorporeal membrane oxygenation for refractory cardiac arrest: a retrospective multicenter study

Dirk Lunz, Lorenzo Calabrò, Mirko Belliato, Enrico Contri, Lars Mikael Broman, Anna Maria Scandroglio, Daniel Patricio, Maximilian Malfertheiner, Jacques Creteur, Alois Philipp, Fabio Silvio Taccone, Federico Pappalardo

Research output: Contribution to journalArticle

Abstract

Purpose: The aim of this study was to assess the neurologic outcome following extracorporeal cardiopulmonary resuscitation (ECPR) in five European centers. Methods: Retrospective database analysis of prospective observational cohorts of patients undergoing ECPR (January 2012–December 2016) was performed. The primary outcome was 3-month favorable neurologic outcome (FO), defined as the cerebral performance categories of 1–2. Survival to ICU discharge and the number of patients undergoing organ donation were secondary outcomes. A subgroup of patients with stringent selection criteria (i.e., age ≤ 65 years, witnessed bystander CPR, no major co-morbidity and ECMO implemented within 1 h from arrest) was also analyzed. Results: A total of 423 patients treated with ECPR were included (median age 57 [48–65] years; male gender 78%); ECPR was initiated for OHCA in 258 (61%) patients. Time from arrest to ECMO implementation was 65 [48–84] min. Eighty patients (19%) had favorable neurological outcome. ICU survival was 24% (n = 102); 23 (5%) non-survivors underwent organ donation procedures. Favorable neurological outcome rate was lower (9% vs. 34%, p < 0.01) in out-of-hospital than in-hospital cardiac arrest and was significantly associated with shorter time from collapse to ECMO. The application of stringent ECPR criteria (n = 105) resulted in 38% of patients with favorable neurologic outcome. Conclusions: ECPR was associated with intact neurological recovery in 19% of unselected cardiac arrest victims, with 38% favorable outcome if stringent selection criteria would have been applied.

Original languageEnglish
JournalIntensive Care Medicine
DOIs
Publication statusAccepted/In press - Jan 1 2020

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Keywords

  • Cardiac arrest
  • ECPR
  • In-hospital
  • Neurological outcome
  • Out-of-hospital
  • Survival

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Lunz, D., Calabrò, L., Belliato, M., Contri, E., Broman, L. M., Scandroglio, A. M., Patricio, D., Malfertheiner, M., Creteur, J., Philipp, A., Taccone, F. S., & Pappalardo, F. (Accepted/In press). Extracorporeal membrane oxygenation for refractory cardiac arrest: a retrospective multicenter study. Intensive Care Medicine. https://doi.org/10.1007/s00134-020-05926-6