2023年1月18日
Prehospital physician presence for patients with out-of-hospital cardiac arrest undergoing extracorporeal cardiopulmonary resuscitation: a multicenter, retrospective, nationwide observational study in Japan (the JAAM-OHCA registry).
Current problems in cardiology
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- 巻
- 48
- 号
- 5
- 開始ページ
- 101600
- 終了ページ
- 101600
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.cpcardiol.2023.101600
BACKGROUND: The effectiveness of the presence of a prehospital physician for patients with out-of-hospital cardiac arrest (OHCA) undergoing extracorporeal cardiopulmonary resuscitation (ECPR) remains unknown. METHODS: In this multicenter, retrospective, observational study, we enrolled patients aged ≥18 years who developed OHCA and received ECPR. The primary outcome was the 1-month favorable neurological outcome. We estimated the impact of the presence of a prehospital physician on outcomes using a propensity score analysis with inverse probability weighting. RESULT: We enrolled 1,269 patients. favorable neurological outcomes occurred in 25 of 316 (7.9%) patients with prehospital physicians and 94 of 953 (9.9%) patients without prehospital physicians. In the propensity score analysis, favorable neurological outcomes did not differ between two groups (odds ratio = 0.72; 95% confidence interval: 0.44-1.17). CONCLUSIONS: The 1-month favorable neurological outcome was not associated with the presence of a prehospital physician for patients with OHCA who underwent EPCR.
- リンク情報
- ID情報
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- DOI : 10.1016/j.cpcardiol.2023.101600
- PubMed ID : 36681207