I46.9
Conditions
Interventions
Group 1: Retrospective study of patients who have been treated with VA ECMO (ECPR) at the site since 2013 for prehospital cardiac arrest (OHCA).
Sponsors
Universitätsklinikum Regensburg
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Age between 18 and 65 years Observed out-of-hospital cardiac arrest Initiation of conventional CPR measures by bystanders or medical personnel within a maximum of 10 minutes after the event No ROSC (Return of Spontaneous Circulation) after 5-10 minutes of ACLS (Advanced Cardiovascular Life Support) according to the currently valid ERC (European Resuscitation Council) Guidelines Persistent hemodynamic instability despite intermittent ROSC
Exclusion criteria
Exclusion criteria: Treatment refusal by the patient (e.g., existing advance directive) Age 65 years CPR duration > 60 minutes until the arrival of the ECLS team Cardiac arrest due to a non-cardiac cause (e.g., trauma, dissection, bleeding) Initiation of thrombolysis therapy before the arrival of the ECLS team Known severe systemic diseases such as liver cirrhosis Child C, heart failure NYHA IV, or COPD Gold IV Malignant (and incurable) underlying disease Presence of vascular prostheses in the inguinal vessels or abdominal aorta Rejection of the procedure by the attending emergency physician Rejection of the procedure by the patient's attending family members
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival to hospital discharge rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Survival to hospital discharge with good neurological outcome. Longtime survival: 1 year/5 years | — |
Countries
Germany
Contacts
Public ContactDirk Lunz
Universitätsklinikum Regensburg
Outcome results
None listed