Ethr Protocol Analysis

The decision to initiate ECPR depended on the provider present in the ED upon patient arrival as well as the availability of the ECPR team. Data for the study was collected from multiple registries including pre-hospital and hospital. Follow-up information was obtained via telephone or inquiry form. Neurologic status at three months after cardiac arrest was analyzed via the Glasgow-Pittsburgh Cerebral Performance and Overall Performance Categories scale (CPC). As reported in Appendix A.1, the researchers determined that ECPR utilized for OHCA of cardiac origin resulted in an improved neurological outcome. The results remained significant even after adjusting for covariates such as differences in subsequent interventions including targeted
In addition, researchers found that 177 (68.1%) of the ECPR group survived to 24 hours post CA while 37 (19.1%) of the CCPR group survived to 24 hours post CA. It was also determined that at one month post CA, 191 (73.5%) individuals in the ECPR group had a CPC score of 5, equivalent to brain death, versus 181 (93.3%) individuals in the CCPR group and at six months post CA, 202 (77.7%) individuals in the ECPR group had a CPC score of 5 versus 185 (95.4%) individuals in the CCPR
Maekawa et al. (2013) found that in their sample of 162 patients, ECPR results in favorable neurological status at three months, increased survival to hospital discharge, and increased survival at three months post CA. Sakamoto et al. (2014) determined that in their study of 454 patients, ECPR increased favorable neurological outcome as well as increased survival rate at one month and six months post CA. Despite the lack of a randomization in these two studies, the rate of favorable neurological outcome and improved survival when comparing ECPR to CCPR supports the use of ECPR for