Importance of pulse pressure after extracorporeal cardiopulmonary resuscitation
- Authors
- Lee, Seok In; Lim, Yong Su; Park, Chul-Hyun; Choi, Woo Sung; Choi, Chang Hyu
- Issue Date
- Aug-2021
- Publisher
- WILEY
- Keywords
- extracorporeal cardiopulmonary resuscitation; outcomes; prognostic factor; pulse pressure
- Citation
- JOURNAL OF CARDIAC SURGERY, v.36, no.8, pp.2743 - 2750
- Journal Title
- JOURNAL OF CARDIAC SURGERY
- Volume
- 36
- Number
- 8
- Start Page
- 2743
- End Page
- 2750
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81683
- DOI
- 10.1111/jocs.15614
- ISSN
- 0886-0440
- Abstract
- Background Recent reports have revealed better clinical outcomes for extracorporeal cardiopulmonary resuscitation (ECPR) than conventional cardiopulmonary resuscitation (CPR). In this retrospective study, we attempted to identify predictors associated with successful weaning off extracorporeal membrane oxygenation (ECMO) support after ECPR. Methods The demographic and clinical data of 30 ECPR patients aged over 18 years treated between August 2016 and January 2019 were analyzed. All clinical data were retrospectively collected. The primary endpoint was successful weaning off ECMO support after ECPR. Patients were divided into two groups based on successful or unsuccessful weaning off ECMO support (Weaned (n = 14) vs. Failed (n = 16)). Results Univariate logistic regression analysis showed that age, CPR duration, ECMO complications, and loss of pulse pressure significantly predicted the results of weaning off ECMO support. However, multivariate logistic regression analysis showed that only CPR duration and loss of pulse pressure independently predicted unsuccessful weaning from ECMO support. Conclusion We conclude that long CPR duration and loss of pulse pressure after ECPR predict unsuccessful weaning from ECMO. However, unlike CPR duration, loss of pulse pressure during post-ECPR was related to subsequent management. In patients with reduced pulse pressure after ECPR, careful management is warranted because this reduction is closely associated with unsuccessful weaning off ECMO support after ECPR.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81683)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.