RISS 학술연구정보서비스

검색
다국어 입력

http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.

변환된 중국어를 복사하여 사용하시면 됩니다.

예시)
  • 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
  • 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
닫기
    인기검색어 순위 펼치기

    RISS 인기검색어

      Extracorporeal cardiopulmonary resuscitation versus conventional cardiopulmonary resuscitation in adults with out-of-hospital cardiac arrest = Extracorporeal cardiopulmonary resuscitation versus conventional cardiopulmonary resuscitation in adults with out-of-hospital cardiac arrest

      한글로보기
      • 내보내기
      • 내책장담기
      • 공유하기
      • 오류접수

      부가정보

      다국어 초록 (Multilingual Abstract)

      Object: Extracorporeal cardiopulmonary resuscitation (ECPR) has been described as an alternative methods of refractory arrest in patients who receiving conventional cardiopulmonary resuscitation (CCPR) in cardiac arrest. However, there is no study on the clear evidence about the merits of ECPR in out-of-hospital cardiac arrest (OHCA), compared with CCPR. Moreover the upper time limit, which can predict a favorable neurologic outcome before initiating ECPR, has not been established in witnessed OHCA patients. We intended to find the merits of clinical outcome in ECPR by comparison with CCPR using propensity score matching method. We also tried to estimate the upper limit of adequate time to deploy ECPR for a favorable outcome. Methods: This was retrospective cohort study. We compared the outcomes of ECPR and CCPR in nontraumatic witnessed OHCA adults who underwent CPR for longer than 15 minutes. Propensity score matching was used to adjust confounding factors in non-randomized CPR registry. In-hospital CPR duration and total no/low-flow duration and were discriminated on the cut-off time. Subgroups based on the cut-off time, were analyzed after matching for finding the adequate time to predict good or poor neurologic outcome. Results: Of 299 patients who had age≥18 years, witnessed OHCA, no trauma, and no DNR, 195 patients underwent CPR for longer than 15 minutes, 156 were enrolled in the CCPR group and 39 were enrolled in ECPR group. The unmatched and matched ECPR group showed the tendency of three-month good neurologic outcome among survivors at discharge (unmatched p=0.018; matched: p=0.012). The cut-off value of inhospital CPR duration and total no/low-time duration for survival event (Return of Spontaneous Circulation≥ 20 minutes) in overall patients with CCPR were 25 minutes, and 47 minutes, respectively. The matched ECPR group with in-hospital CPR duration of over 25 minutes, had better neurologic outcome than the matched CCPR group at three month after arrest (p=0.033). Conclusion: ECPR had a favorable neurologic outcome better than CCPR in survivors at discharge. We suggest to consider ECPR when in-hospital CPR duration over 25 minutes as the upper limit before ECPR in OHCA patients.
      번역하기

      Object: Extracorporeal cardiopulmonary resuscitation (ECPR) has been described as an alternative methods of refractory arrest in patients who receiving conventional cardiopulmonary resuscitation (CCPR) in cardiac arrest. However, there is no study on ...

      Object: Extracorporeal cardiopulmonary resuscitation (ECPR) has been described as an alternative methods of refractory arrest in patients who receiving conventional cardiopulmonary resuscitation (CCPR) in cardiac arrest. However, there is no study on the clear evidence about the merits of ECPR in out-of-hospital cardiac arrest (OHCA), compared with CCPR. Moreover the upper time limit, which can predict a favorable neurologic outcome before initiating ECPR, has not been established in witnessed OHCA patients. We intended to find the merits of clinical outcome in ECPR by comparison with CCPR using propensity score matching method. We also tried to estimate the upper limit of adequate time to deploy ECPR for a favorable outcome. Methods: This was retrospective cohort study. We compared the outcomes of ECPR and CCPR in nontraumatic witnessed OHCA adults who underwent CPR for longer than 15 minutes. Propensity score matching was used to adjust confounding factors in non-randomized CPR registry. In-hospital CPR duration and total no/low-flow duration and were discriminated on the cut-off time. Subgroups based on the cut-off time, were analyzed after matching for finding the adequate time to predict good or poor neurologic outcome. Results: Of 299 patients who had age≥18 years, witnessed OHCA, no trauma, and no DNR, 195 patients underwent CPR for longer than 15 minutes, 156 were enrolled in the CCPR group and 39 were enrolled in ECPR group. The unmatched and matched ECPR group showed the tendency of three-month good neurologic outcome among survivors at discharge (unmatched p=0.018; matched: p=0.012). The cut-off value of inhospital CPR duration and total no/low-time duration for survival event (Return of Spontaneous Circulation≥ 20 minutes) in overall patients with CCPR were 25 minutes, and 47 minutes, respectively. The matched ECPR group with in-hospital CPR duration of over 25 minutes, had better neurologic outcome than the matched CCPR group at three month after arrest (p=0.033). Conclusion: ECPR had a favorable neurologic outcome better than CCPR in survivors at discharge. We suggest to consider ECPR when in-hospital CPR duration over 25 minutes as the upper limit before ECPR in OHCA patients.

      더보기

      분석정보

      View

      상세정보조회

      0

      Usage

      원문다운로드

      0

      대출신청

      0

      복사신청

      0

      EDDS신청

      0

      동일 주제 내 활용도 TOP

      더보기

      주제

      연도별 연구동향

      연도별 활용동향

      연관논문

      연구자 네트워크맵

      공동연구자 (7)

      유사연구자 (20) 활용도상위20명

      이 자료와 함께 이용한 RISS 자료

      나만을 위한 추천자료

      해외이동버튼