지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 908 - 918 (11page)
- DOI
- https://doi.org/10.4070/kcj.2021.0167
이용수
초록· 키워드
오류제보하기
Background and Objectives: Despite recent improvements in advanced life support, the overall survival rate after cardiac arrest remains low. We aimed to examine the association of a multidisciplinary team approach with clinical outcomes in patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR) in the emergency department (ED).
Methods: This retrospective, single-center, observational study included 125 patients who underwent ECPR in the ED between May 2004?December 2018. In January 2014, our institution implemented a multidisciplinary extracorporeal membrane oxygenation (ECMO) team. Eligible patients were classified into pre-ECMO-team (n=65) and post-ECMO-team (n=60) groups. The primary outcome was in-hospital mortality.
Results: In-hospital mortality (72.3% vs. 58.3%, p=0.102) and poor neurological outcomes (78.5% vs. 68.3%, p=0.283) did not differ significantly between the pre- and post-ECMO-team groups. However, among the 60 patients who experienced in-hospital cardiac arrest, in-hospital mortality (75.8% vs. 40.7%, p=0.006) and poor neurological outcomes (78.8% vs. 48.1%, p=0.015) significantly decreased after the multidisciplinary team formation. Multivariable logistic regression analysis showed that the multidisciplinary team approach (adjusted odds ratio, 0.20; 95% confidence interval, 0.07?0.61; p=0.005) was an independent prognostic factor for in-hospital mortality in in-hospital cardiac arrest patients.
Conclusions: A multidisciplinary team approach was associated with improved clinical outcomes in in-hospital cardiac arrest patients undergoing ECPR in the ED. These findings may help in improving the selection criteria for ECPR in the ED. Further studies to overcome the study limitations may help improving the outcomes of out-of-hospital cardiac arrest patients.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Peberdy MA / 2003 / Cardiopulmonary resuscitation of adults in the hospital : a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation / Resuscitation 58:297~308
Bloom HL / 2007 / Long-term survival after successful inhospital cardiac arrest resuscitation / Am Heart J 153:831~836
Ehlenbach WJ / 2009 / Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly / N Engl J Med 361:22~31
Hajbaghery MA / 2005 / Factors influencing survival after in-hospital cardiopulmonary resuscitation / Resuscitation 66:317~321
Mattox KL / 1976 / Resuscitation of the moribund patient using portable cardiopulmonary bypass / Ann Thorac Surg 22:436~442
Bloom HL / 2007 / Long-term survival after successful inhospital cardiac arrest resuscitation / Am Heart J 153:831~836
Ehlenbach WJ / 2009 / Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderly / N Engl J Med 361:22~31
Hajbaghery MA / 2005 / Factors influencing survival after in-hospital cardiopulmonary resuscitation / Resuscitation 66:317~321
Mattox KL / 1976 / Resuscitation of the moribund patient using portable cardiopulmonary bypass / Ann Thorac Surg 22:436~442
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