Evaluation of the Updated Procedure for the Management of Refractory Out-of-hospital Cardiac Arrests with SAMU 54 : the Revised ACEP Protocol in 02/2024
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Survival
研究概览
简要总结
ECPR is a technique that has been rapidly developed in many cardiac arrest specialized centers In 2013, a specific management protocol was developed for patients in refractory out-of-hospital cardiac arrest around Nancy, France. To select patients with the best prognosis, the inclusion criteria defined were strict. This led to an over-selection of patients and a significant reduction in the number of eligible patients. A balance needed to be struck between over-selecting patients and maintaining the expertise of medical and paramedical teams in the field. In addition, it has also been shown that ECPR also increases the number of organs and transplants.
In February 2024, the criteria for inclusion in the protocol were redefined to include any witnessed non-traumatic cardiac arrest, whatever the initial rhythm. This simplification should enable more patients to be included in the procedure.
The aim of the study is to assess the patient's outcome
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Out-of-hospital cardiac arrest
- •enrolled in the ECPR program
- •18 years old or more
- •Low-flow estimated <60minutes
排除标准
- •traumatic cardiac arrest
- •major comorbidities
结局指标
主要结局
Survival
时间窗: 90 days after cardiac arrest
Survival rate of patients enrolled in the protocol
次要结局
- Delays(From event to implementation of ECMO, in minutes, Up to 180 minutes)
- Neurological outcome(30 days and 90 days after cardiac arrest)
研究者
JAEGER Deborah
Principal investigator
Central Hospital, Nancy, France