Impact of a clinical decision protocol on survival and neurological outcome following extracorporeal cardiopulmonary resuscitation - PubMed
4 hours ago
- #Cardiac Arrest
- #Clinical Protocol
- #ECPR
- Study analyzed the impact of a clinical decision protocol on survival and neurological outcomes in extracorporeal cardiopulmonary resuscitation (ECPR) patients.
- Protocol introduced in July 2017 recommended ECPR based on four criteria: age <70, shockable rhythm, no-flow <5 min, and low-flow <80 min.
- Hospital survival improved from 8.9% to 26.5% after protocol implementation, but neurological outcomes did not show significant improvement.
- Patients meeting all four criteria had significantly better survival (48.0%) and neurological outcomes (30.0%) compared to those who did not.
- Multivariable analysis showed that only the simultaneous presence of all four criteria was independently associated with reduced risk of death.