Discharge survival of patients undergoing ECMO therapy after ECPR in a third level hospital
| Autor: | C.S. Molina Mazón, G. López Sánchez, J. Castillo García, A. Blasco Lucas, Fabrizio Sbraga, J.C. Sánchez Salado, M. Gual Santandreu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Extracorporeal circulation Electronic medical record 030208 emergency & critical care medicine Retrospective cohort study 030204 cardiovascular system & hematology Cardiopulmonary Resuscitation Hospitals Patient Discharge 03 medical and health sciences Extracorporeal Membrane Oxygenation surgical procedures operative 0302 clinical medicine Emergency medicine Parada cardiorrespiratoria Hospital discharge Extracorporeal membrane oxygenation Humans Medicine In patient Cardiopulmonary resuscitation business Retrospective Studies |
| Zdroj: | Enfermeria intensiva. 32(2) |
| ISSN: | 2529-9840 |
| Popis: | Goal The goal of this study was to assess the survival to hospital discharge in patients after the implementation of venoarterial-extracorporeal membrane oxygenation (VA-ECMO) during cardiopulmonary arrest (simultaneously or during the first six hours after the event) in a Spanish tertiary hospital. Method This is a descriptive and retrospective study conducted with patients subjected to VA-ECMO therapy during or after cardiopulmonary resuscitation (CPR) in the last 10 years. The variables were extracted from the electronic medical record of each patient. Results 175 ECMO therapies were implemented, 84% (147) were VA-ECMO, and the indication for 17% (25) was CPR. In 40% (10), ECMO therapy was initiated simultaneously during CPR, and the rest (15) during the first six hours after the event. Survival rates reached 44%. Conclusions The use of CPR in well-selected patients can improve their survival. |
| Databáze: | OpenAIRE |
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