Prophylactic distal perfusion catheter and survival in patients with out-of-hospital cardiac arrest: Secondary analysis of the SAVE-J II study
The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association between prophylactic DPC and prognosis in patients with OHCA u...
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| Veröffentlicht in: | The American journal of emergency medicine 2024-04, Vol.78, p.69-75 |
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| container_title | The American journal of emergency medicine |
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| creator | Honzawa, Hiroshi Taniguchi, Hayato Abe, Takeru Takeuchi, Ichiro Inoue, Akihiko Hifumi, Toru Sakamoto, Tetsuya Kuroda, Yasuhiro |
| description | The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association between prophylactic DPC and prognosis in patients with OHCA undergoing ECPR.
A secondary analysis of the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan (SAVE-J II) database was performed to compare groups of patients with and without prophylactic DPCs. A multivariate analysis of survival at discharge was performed using factors that were significant in the two-arm comparison.
A total of 2044 patients were included in the analysis after excluding those who met the exclusion criteria. Survival at discharge was observed in 548 (26.9%) patients. In total, 100 (4.9%) patients developed limb ischemia, among whom 14 (0.7%) required therapeutic intervention. Multivariate analysis showed that prophylactic DPC did not result in a significant difference in survival at discharge (odds ratio: 0.898 [0.652–1.236], p = 0.509).
The implementation of prophylactic DPC after ECPR for patients with OHCA may not contribute to survival at discharge. |
| doi_str_mv | 10.1016/j.ajem.2024.01.009 |
| format | Article |
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A secondary analysis of the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan (SAVE-J II) database was performed to compare groups of patients with and without prophylactic DPCs. A multivariate analysis of survival at discharge was performed using factors that were significant in the two-arm comparison.
A total of 2044 patients were included in the analysis after excluding those who met the exclusion criteria. Survival at discharge was observed in 548 (26.9%) patients. In total, 100 (4.9%) patients developed limb ischemia, among whom 14 (0.7%) required therapeutic intervention. Multivariate analysis showed that prophylactic DPC did not result in a significant difference in survival at discharge (odds ratio: 0.898 [0.652–1.236], p = 0.509).
The implementation of prophylactic DPC after ECPR for patients with OHCA may not contribute to survival at discharge.</description><identifier>ISSN: 0735-6757</identifier><identifier>ISSN: 1532-8171</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2024.01.009</identifier><identifier>PMID: 38237215</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cardiac arrest ; Cardiac arrhythmia ; Cardiopulmonary resuscitation ; Cardiovascular disease ; Catecholamines ; Catheters ; Cerebral blood flow ; Clinical trials ; CPR ; Diabetes ; Extracorporeal cardiopulmonary resuscitation ; Extracorporeal membrane oxygenation ; Heart ; Hospitals ; Hypertension ; Hypothermia ; Ischemia ; Medical instruments ; Medical prognosis ; Metabolic disorders ; Multivariate analysis ; Nervous system ; Neurological disorders ; Out-of-hospital cardiac arrest ; Patients ; Perfusion ; Prophylactic distal perfusion catheter ; Regression analysis ; Secondary analysis ; Sensitivity analysis ; Survival ; Survival analysis ; Variables ; Venoarterial-extracorporeal membrane oxygenation</subject><ispartof>The American journal of emergency medicine, 2024-04, Vol.78, p.69-75</ispartof><rights>2024 Elsevier Inc.</rights><rights>Copyright © 2024 Elsevier Inc. All rights reserved.</rights><rights>2024. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c335t-c5a06265b173e65f8bfe027b03e7fc75b0ca655ff3f953858a7f55c8e760c36d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2968898828?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38237215$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Honzawa, Hiroshi</creatorcontrib><creatorcontrib>Taniguchi, Hayato</creatorcontrib><creatorcontrib>Abe, Takeru</creatorcontrib><creatorcontrib>Takeuchi, Ichiro</creatorcontrib><creatorcontrib>Inoue, Akihiko</creatorcontrib><creatorcontrib>Hifumi, Toru</creatorcontrib><creatorcontrib>Sakamoto, Tetsuya</creatorcontrib><creatorcontrib>Kuroda, Yasuhiro</creatorcontrib><creatorcontrib>SAVE-J II study group</creatorcontrib><title>Prophylactic distal perfusion catheter and survival in patients with out-of-hospital cardiac arrest: Secondary analysis of the SAVE-J II study</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association between prophylactic DPC and prognosis in patients with OHCA undergoing ECPR.
A secondary analysis of the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan (SAVE-J II) database was performed to compare groups of patients with and without prophylactic DPCs. A multivariate analysis of survival at discharge was performed using factors that were significant in the two-arm comparison.
A total of 2044 patients were included in the analysis after excluding those who met the exclusion criteria. Survival at discharge was observed in 548 (26.9%) patients. In total, 100 (4.9%) patients developed limb ischemia, among whom 14 (0.7%) required therapeutic intervention. Multivariate analysis showed that prophylactic DPC did not result in a significant difference in survival at discharge (odds ratio: 0.898 [0.652–1.236], p = 0.509).
The implementation of prophylactic DPC after ECPR for patients with OHCA may not contribute to survival at discharge.</description><subject>Cardiac arrest</subject><subject>Cardiac arrhythmia</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiovascular disease</subject><subject>Catecholamines</subject><subject>Catheters</subject><subject>Cerebral blood flow</subject><subject>Clinical trials</subject><subject>CPR</subject><subject>Diabetes</subject><subject>Extracorporeal cardiopulmonary resuscitation</subject><subject>Extracorporeal membrane oxygenation</subject><subject>Heart</subject><subject>Hospitals</subject><subject>Hypertension</subject><subject>Hypothermia</subject><subject>Ischemia</subject><subject>Medical instruments</subject><subject>Medical prognosis</subject><subject>Metabolic disorders</subject><subject>Multivariate analysis</subject><subject>Nervous system</subject><subject>Neurological disorders</subject><subject>Out-of-hospital cardiac arrest</subject><subject>Patients</subject><subject>Perfusion</subject><subject>Prophylactic distal perfusion catheter</subject><subject>Regression analysis</subject><subject>Secondary analysis</subject><subject>Sensitivity analysis</subject><subject>Survival</subject><subject>Survival analysis</subject><subject>Variables</subject><subject>Venoarterial-extracorporeal membrane 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Academic</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Honzawa, Hiroshi</au><au>Taniguchi, Hayato</au><au>Abe, Takeru</au><au>Takeuchi, Ichiro</au><au>Inoue, Akihiko</au><au>Hifumi, Toru</au><au>Sakamoto, Tetsuya</au><au>Kuroda, Yasuhiro</au><aucorp>SAVE-J II study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prophylactic distal perfusion catheter and survival in patients with out-of-hospital cardiac arrest: Secondary analysis of the SAVE-J II study</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2024-04</date><risdate>2024</risdate><volume>78</volume><spage>69</spage><epage>75</epage><pages>69-75</pages><issn>0735-6757</issn><issn>1532-8171</issn><eissn>1532-8171</eissn><abstract>The effect of a prophylactic distal perfusion catheter (DPC) after extracorporeal cardiopulmonary resuscitation (ECPR) in patients with out-of-hospital cardiac arrest (OHCA) remains unclear. Therefore, we aimed to clarify the association between prophylactic DPC and prognosis in patients with OHCA undergoing ECPR.
A secondary analysis of the Study of Advanced Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan (SAVE-J II) database was performed to compare groups of patients with and without prophylactic DPCs. A multivariate analysis of survival at discharge was performed using factors that were significant in the two-arm comparison.
A total of 2044 patients were included in the analysis after excluding those who met the exclusion criteria. Survival at discharge was observed in 548 (26.9%) patients. In total, 100 (4.9%) patients developed limb ischemia, among whom 14 (0.7%) required therapeutic intervention. Multivariate analysis showed that prophylactic DPC did not result in a significant difference in survival at discharge (odds ratio: 0.898 [0.652–1.236], p = 0.509).
The implementation of prophylactic DPC after ECPR for patients with OHCA may not contribute to survival at discharge.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38237215</pmid><doi>10.1016/j.ajem.2024.01.009</doi><tpages>7</tpages></addata></record> |
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| ispartof | The American journal of emergency medicine, 2024-04, Vol.78, p.69-75 |
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| source | ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland |
| subjects | Cardiac arrest Cardiac arrhythmia Cardiopulmonary resuscitation Cardiovascular disease Catecholamines Catheters Cerebral blood flow Clinical trials CPR Diabetes Extracorporeal cardiopulmonary resuscitation Extracorporeal membrane oxygenation Heart Hospitals Hypertension Hypothermia Ischemia Medical instruments Medical prognosis Metabolic disorders Multivariate analysis Nervous system Neurological disorders Out-of-hospital cardiac arrest Patients Perfusion Prophylactic distal perfusion catheter Regression analysis Secondary analysis Sensitivity analysis Survival Survival analysis Variables Venoarterial-extracorporeal membrane oxygenation |
| title | Prophylactic distal perfusion catheter and survival in patients with out-of-hospital cardiac arrest: Secondary analysis of the SAVE-J II study |
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