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

Intensive Care Medicine Feb 20, 2020

Lunz D, Calabrò L, Belliato M, et al. - Researchers conducted a retrospective database analysis, to evaluate neurologic outcome after extracorporeal cardiopulmonary resuscitation (ECPR) in five European centers. They analyzed prospective observational cohorts of patients receiving ECPR (January 2012–December 2016). Three-month favorable neurologic outcome, described as the cerebral performance categories of 1–2, was regarded as the primary outcome. This study involved 423 patients treated with ECPR. Time from arrest to ECMO implementation was 65 [48–84] min. Findings revealed that in 19% of unselected cardiac arrest victims, intact neurological recovery was observed in relation to ECPR, with 38% favorable outcome if stringent selection criteria would have been implemented.
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