Outcomes of Extracorporeal Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest Among Children With Noncardiac Illness Categories*

December 29, 2023Critical Care MedicineOpen Access

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Key Points

To determine the association between extracorporeal cardiopulmonary resuscitation (ECPR) and survival to hospital discharge in pediatric patients with noncardiac illnesses.
Retrospective multicenter cohort study
Inclusion of 875 pediatric patients with noncardiac illness undergoing in-hospital cardiac arrest
Use of propensity score weighting and multivariable logistic regression to analyze data.
Survival to discharge in ECPR group was 21.4% vs. 16.2% in CCPR group (p=0.13)
No significant association found between ECPR and survival after adjustment (adjusted odds ratio 1.42, 95% CI 0.84-2.40, p=0.19)
ECPR use increased significantly over 20 years (p<0.001).

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Retrospective cohort study investigates ECPR outcomes in children with noncardiac illness, showing trends but no significant survival benefits.

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Loaec et al. (2023) studied this question.

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