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Prophylactic distal perfusion catheter and survival in patients with out-of-hospital cardiac arrest: Secondary analysis of the SAVE-J II study.
- Source :
- American Journal of Emergency Medicine; Apr2024, Vol. 78, p69-75, 7p
- Publication Year :
- 2024
-
Abstract
- The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association between prophylactic DPC and prognosis in patients with OHCA undergoing ECPR. A secondary analysis of the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan (SAVE-J II) database was performed to compare groups of patients with and without prophylactic DPCs. A multivariate analysis of survival at discharge was performed using factors that were significant in the two-arm comparison. A total of 2044 patients were included in the analysis after excluding those who met the exclusion criteria. Survival at discharge was observed in 548 (26.9%) patients. In total, 100 (4.9%) patients developed limb ischemia, among whom 14 (0.7%) required therapeutic intervention. Multivariate analysis showed that prophylactic DPC did not result in a significant difference in survival at discharge (odds ratio: 0.898 [0.652–1.236], p = 0.509). The implementation of prophylactic DPC after ECPR for patients with OHCA may not contribute to survival at discharge. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 07356757
- Volume :
- 78
- Database :
- Supplemental Index
- Journal :
- American Journal of Emergency Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 176121824
- Full Text :
- https://doi.org/10.1016/j.ajem.2024.01.009