WEDNESDAY, JANUARY 25, 2023 (HealthDay News) — For patients with out-of-hospital cardiac arrest, extracorporeal cardiopulmonary resuscitation (CPR) does not improve neurological outcomes compared with conventional CPR, according to Jan. 2023 25, according to a study published today. No. 26 New England Journal of Medicine.
Martje M. Suverein, MD, Maastricht University, The Netherlands, and colleagues randomized out-of-hospital cardiac arrest patients aged 18 to 70 years to receive bystander CPR, with early ventricular arrhythmia and no recurrence. was. Survival with a favorable neurological outcome at his 30-day time point on spontaneous circulation within 15 minutes after initiation of CPR to receive extracorporeal CPR or conventional her CPR was assessed as the primary outcome .
The researchers found that 20% and 16% of patients in the extracorporeal CPR and conventional CPR groups, respectively, were alive and had a favorable neurological outcome after 30 days (odds ratio 1.4; 95%; % CI 0.5 to 3.5; P = 0.52). The two groups had similar numbers of serious adverse events reported per patient.
“Available data do not yet support the widespread use of extracorporeal CPR in patients with witnessed out-of-hospital cardiac arrest,” wrote the authors of an accompanying editorial. Evaluation will require much larger studies with strong statistical power to extrapolate the potential benefits of this resource-intensive strategy.”
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