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Conclusions: ECPR is associated with improved survival and neurologic outcome than CCPR in cardiac origin IHCA patients.
Objectives: To assess the impact of extracorporeal cardiopulmonary resuscitation (ECPR) as compared to conventional cardiopulmonary resuscitation (CCPR) in adult patients who experience cardiac arrest of cardiac origin.
ECPR showed equal survival (OR 1.03, 95%% confidence interval [CI] 0.41-2.56) aneurologicgic outcomes (OR 2.68, 95 % CI 0.62-11.57) to CCPR in out-of hospital cardiac arrest (OHCA) patients.
The efficacy of ECPR was compared to CCPR in terms of survival and neurological outcome as follows: 1) survival to discharge from hospital or 28 days, and 2) good neurologic outcome (Cerebral Performance Category 1 2 or Glasgow Outcome Scale 1) maintained until discharge from hospital or 28 days or 90 days.
The primary goal of this study was to estimate the optimal duration of CPR to consider ECPR as an alternative resuscitation method in patients with CCPR, and to determine whether ECPR results in better neurological outcomes than CCPR in patients who require prolonged CPR beyond the optimal duration in OHCA patients.
This year's meeting, which runs from 18 to 27 September, brings together about 50 experts from around the world to evaluate the safety of more than 30 compounds and recommend maximum residue levels for consideration by the 51st session of the Codex Committee on Pesticide Residues (CCPR) in 2019.
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aValue proportional to each one-minute decrease in arrival time; bValues proportional to each increase by 1.33 kPa (10 mm Hg); cCPR performed in the period from November 2003 to April 2006 (period 1: January 2000 to November 2003).
For this reason, this survey paper proposes a new conceptual classification scheme, based on content analysis method, to classify past and current developments in CCPR research.
Some studies have reported that an age of <75 years predicts survival in CCPR [26, 27].
Witnessed arrest has been shown to be a prognostic factor for favorable outcomes in CCPR [26, 34].
Nevertheless, quoted survival rates after ECPR [47] are either comparable with those in CCPR patients [48] or slightly better, but this does not seem to impact on neurological outcome [46, 49].
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