Evidence map›Paper›PMID 36000900›Full record

SynthesisInteractive cardiovascular and thoracic surgery2022

Systematic review and meta-analysis comparing low-flow duration of extracorporeal and conventional cardiopulmonary resuscitation.

Loes Mandigers, Eric Boersma, Corstiaan A den Uil, Diederik Gommers, Jan Bělohlávek, Mirko Belliato, Roberto Lorusso, Dinis Dos Reis Miranda

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Interactive cardiovascular and thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Article
  2. Factors associated with good neurological outcomes in survivors of in-hospital cardiac arrest: A systematic review and meta-analysis.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Successful prehospital extracorporeal cardiopulmonary resuscitation in pediatric cardiac arrest - a case report.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Current trends in the management of out of hospital cardiac arrest (OHCA).Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2024
    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

8 authors.

Loes MandigersDepartment of Adult Intensive Care, Erasmus University Medical Center, Rotterdam, Netherlands.
Eric BoersmaDepartment of Cardiology, Erasmus University Medical Center, Rotterdam, Netherlands.ORCID 0000-0002-2559-7128
Corstiaan A den UilDepartment of Adult Intensive Care, Erasmus University Medical Center, Rotterdam, Netherlands.
Diederik GommersDepartment of Adult Intensive Care, Erasmus University Medical Center, Rotterdam, Netherlands.
Jan BělohlávekDepartment of Cardiovascular Medicine, 2nd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic.
Mirko BelliatoUOC Anestesia e Rianimazione 2 Cardiopolmonare, Fondazione IRCC Policlinico San Matteo, Pavia, Italy.
Roberto LorussoCardio-Thoracic Surgery Department, Heart & Vascular Centre, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, Maastricht, Netherlands.ORCID 0000-0002-1777-2045
Dinis Dos Reis MirandaDepartment of Adult Intensive Care, Erasmus University Medical Center, Rotterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAfter cardiac arrest, a key factor determining survival outcomes is low-flow duration. Our aims were to determine the relation of survival and low-flow duration of extracorporeal cardiopulmonary resuscitation (ECPR) and conventional cardiopulmonary resuscitation (CCPR) and if these 2 therapies have different short-term survival curves in relation to low-flow duration.

methodsWe searched Embase, Medline, Web of Science and Google Scholar from inception up to April 2021. A linear mixed-effect model was used to describe the course of survival over time, based on study-specific and time-specific aggregated survival data.

resultsWe included 42 observational studies reporting on 1689 ECPR and 375 751 CCPR procedures. Of the included studies, 25 included adults, 13 included children and 4 included both. In adults, survival curves decline rapidly over time (ECPR 37.2%, 29.8%, 23.8% and 19.1% versus CCPR-shockable 36.8%, 7.2%, 1.4% and 0.3% for 15, 30, 45 and 60 min low-flow, respectively). ECPR was associated with a statistically significant slower decline in survival than CCPR with initial shockable rhythms (CCPR-shockable). In children, survival curves decline rapidly over time (ECPR 43.6%, 41.7%, 39.8% and 38.0% versus CCPR-shockable 48.6%, 20.5%, 8.6% and 3.6% for 15, 30, 45 and 60 min low-flow, respectively). ECPR was associated with a statistically significant slower decline in survival than CCPR-shockable.

conclusionsThe short-term survival of ECPR and CCPR-shockable patients both decline rapidly over time, in adults as well as in children. This decline of short-term survival in relation to low-flow duration in ECPR was slower than in conventional cardiopulmonary resuscitation.

trial registrationProspero: CRD42020212480, 2 October 2020.

Indexed as

Cardiopulmonary ResuscitationExtracorporeal Membrane OxygenationHeart ArrestOut-of-Hospital Cardiac ArrestAdultChildHumansRetrospective StudiesTime FactorsCardiac arrestCardiopulmonary resuscitationExtracorporeal cardiopulmonary resuscitationHeart arrestSurvival

Identifiers

PMID36000900
PMCPMC9491846

What OpenQuestion holds

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LicenceCC BY-NC
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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.