Evidence map›Paper›PMID 32102640›Full record

Observational studyCritical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine2020

Prospective observational study of mechanical cardiopulmonary resuscitation, extracorporeal membrane oxygenation and early reperfusion for refractory cardiac arrest in Sydney: the 2CHEER study.

Mark Dennis, Hergen Buscher, David Gattas, Brian Burns, Karel Habig, Paul Bannon, Sanjay Patel, Heidi Buhr, Claire Reynolds, Sean Scott and 8 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Determining Access for a City-Wide Extracorporeal Cardiopulmonary Resuscitation (ECPR) Initiative Using Geospatial Analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
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  10. Review
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  16. Observational
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  19. Observational
  20. Extracorporeal cardiopulmonary resuscitation for adults with shock-refractory cardiac arrest.Journal of the American College of Emergency Physicians open · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 1 country.

Mark DennisSydney Medical School, University of Sydney, Sydney, NSW, Australia. mark.dennis@sydney.edu.au.
Hergen BuscherDepartment of Intensive Care, St Vincent's Hospital, Sydney, NSW, Australia.
David GattasSydney Medical School, University of Sydney, Sydney, NSW, Australia.
Brian BurnsSydney Medical School, University of Sydney, Sydney, NSW, Australia.
Karel HabigGreater Sydney Area Helicopter Emergency Medical Service, New South Wales Ambulance Service, Sydney, NSW, Australia.
Paul BannonSydney Medical School, University of Sydney, Sydney, NSW, Australia.
Sanjay PatelSydney Medical School, University of Sydney, Sydney, NSW, Australia.
Heidi BuhrIntensive Care Service, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Claire ReynoldsDepartment of Intensive Care, St Vincent's Hospital, Sydney, NSW, Australia.
Sean ScottDepartment of Intensive Care, St Vincent's Hospital, Sydney, NSW, Australia.
Priya NairDepartment of Intensive Care, St Vincent's Hospital, Sydney, NSW, Australia.
Jon HaymanSydney Medical School, University of Sydney, Sydney, NSW, Australia.
Emily GrangerDepartment of Cardiothoracic Surgery St Vincent's Hospital, Sydney, NSW, Australia.
Ryan LovettNew South Wales Ambulance Service, Sydney, NSW, Australia.
Paul ForrestSydney Medical School, University of Sydney, Sydney, NSW, Australia.
Jennifer ColesIntensive Care Service, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
David A LoweDepartment of Intensive Care, St Vincent's Hospital, Sydney, NSW, Australia.
Sydney ECMO Research Interest Group
The University of Sydney · AUSt Vincent's Hospital Sydney · AUNSW Ambulance · AURoyal Prince Alfred Hospital · AUSt Vincent's Hospital Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with prolonged cardiac arrest that is not responsive to conventional cardiopulmonary resuscitation have poor outcomes. The use of extracorporeal membrane oxygenation (ECMO) in refractory cardiac arrest has shown promising results in carefully selected cases. We sought to validate the results from an earlier extracorporeal cardiopulmonary resuscitation (ECPR) study (the CHEER trial).

methodsProspective, consecutive patients with refractory in-hospital (IHCA) or out-of-hospital cardiac arrest (OHCA) who met predefined inclusion criteria received protocolised care, including mechanical cardiopulmonary resuscitation, initiation of ECMO, and early coronary angiography (if an acute coronary syndrome was suspected).

resultsTwenty-five patients were enrolled in the study (11 OHCA, 14 IHCA); the median age was 57 years (interquartile range [IQR], 39-65 years), and 17 patients (68%) were male. ECMO was established in all patients, with a median time from arrest to ECMO support of 57 minutes (IQR, 38-73 min). Percutaneous coronary intervention was performed on 18 patients (72%). The median duration of ECMO support was 52 hours (IQR, 24-108 h). Survival to hospital discharge with favourable neurological recovery occurred in 11/25 patients (44%, of which 72% had IHCA and 27% had OHCA). When adjusting for lactate, arrest to ECMO flow time was predictive of survival (odds ratio, 0.904;

conclusionECMO for refractory cardiac arrest shows promising survival rates if protocolised care is applied in conjunction with predefined selection criteria.

Indexed as

Extracorporeal Membrane OxygenationMyocardial ReperfusionAdultAgedCardiopulmonary ResuscitationFemaleHeart ArrestHumansMaleMiddle AgedOut-of-Hospital Cardiac ArrestProspective StudiesRetrospective StudiesSurvival RateTreatment Outcome

Identifiers

PMID32102640
PMCPMC10692455
OpenAlexW3010695845

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.