XXXX : the prospect of E-CPR in the Maastricht region.

@entity1 @entity1187 @entity712 @entity16 @entity1167 @entity2332
AIM: The current outcome of @entity1167 ( @entity1167 ) @entity1 in the Maastricht region was analysed with the prospect of implementing extracorporeal cardiopulmonary resuscitation (E-CPR). METHODS: A retrospective analysis of adult @entity1 who were resuscitated for @entity1167 during a 24-month period was performed. RESULTS: 195 @entity1 (age 66 [57-75] years, 82   % male) were resuscitated for @entity1167 by the emergency medical services and survived to admission at the emergency department. Survival to hospital discharge was 46.2   %. Notable differences between non-survivors and survivors were observed and included: age (70 [58-79] years) vs. (63 [55-72] years, p   =   0.01), @entity712 (18 vs. 7   %, p   =   0.02), shockable rhythm (67 vs. 99   %, p   <   0.01), and return of spontaneous circulation (ROSC) at departure from the site of the arrest (46 vs. 99   %, p   <   0.01) and on arrival to the emergency department (43 vs. 98   %, p   <   0.01), respectively. @entity1187 was diagnosed in 32   % of non-survivors vs. 59   % among survivors, p   <   0.01. Therapeutic @entity2332 was provided in non-survivors (20   %) vs. survivors (43   %), p   <   0.01. Percutaneous coronary intervention (PCI) was performed in 14   % of non-survivors while 52   % of survivors received PCI (p   <   0.01). No statistical significance was observed in terms of gender, witnessed arrest, bystander CPR, or automated external defibrillator deployed among the cohort. At hospital discharge, moderately severe @entity16 was present in six survivors. CONCLUSION: These observations are compatible with the notion that a shockable rhythm, ROSC, and post-arrest care improve survival outcome. Potentially, initiating E-CPR in the resuscitation phase in @entity1 with a shockable rhythm and no ROSC might serve as a bridge to definite treatment and improve survival outcome.
