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• W2742969232 abstract "Aim A change in prehospital redirection practice could potentially increase the proportion of E-CPR eligible patients with out-of-hospital cardiac arrest (OHCA) transported to extracorporeal cardiopulmonary resuscitation (E-CPR) capable centers. The objective of this study was to quantify this potential increase of E-CPR candidates transported to E-CPR capable centers. Methods Adults with non-traumatic OHCA refractory to 15 min of resuscitation were selected from a registry of adult OHCA collected between 2010 and 2015 in Montreal, Canada. Using this cohort, three simulation scenarios allowing prehospital redirection to E-CPR centers were created. Stringent eligibility criteria for E-CPR and redirection for E-CPR (e.g. age <60 years old, initial shockable rhythm) were used in the first scenario, intermediate eligibility criteria (e.g. age <65 years old, at least one shock given) in the second scenario and inclusive eligibility criteria (e.g. age <70 years old, initial rhythm ≠ asystole) in the third scenario. All three scenarios were contrasted with equivalent scenarios in which patients were transported to the closest hospital. Proportions were compared using McNemar’s test. Results The proportion of E-CPR eligible patients transported to E-CPR capable centers increased in each scenario (stringent criteria: 48 [24.5%] vs 155 patients [79.1%], p < 0.001; intermediate criteria: 81 [29.6%] vs 262 patients [95.6%], p < 0.001; inclusive criteria: 238 [23.9%] vs 981 patients [98.5%], p < 0.001). Conclusions A prehospital redirection system could significantly increase the number of patients with refractory OHCA transported to E-CPR capable centers, thus increasing their access to this potentially life-saving procedure, provided allocated resources are planned accordingly." @default.
• W2742969232 created "2017-08-17" @default.
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• W2742969232 date "2017-10-01" @default.
• W2742969232 modified "2023-10-14" @default.
• W2742969232 title "Potential impact of a prehospital redirection system for refractory cardiac arrest" @default.
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• W2742969232 doi "https://doi.org/10.1016/j.resuscitation.2017.08.001" @default.
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