Evidence map›Paper›PMID 38434097›Full record

ReviewJournal of the American College of Emergency Physicians open2024

Extracorporeal cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest: Lessons learned from recent clinical trials.

Stephanie DeMasi, Megan Donohue, Lisa Merck, Jarrod Mosier, Strategies to Innovate Emergency Care Clinical Trials Network (SIREN) investigators

Abstract readReview
In one paragraph

Review in Journal of the American College of Emergency Physicians open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors.

Stephanie DeMasiDepartment of Emergency Medicine Vanderbilt University Medical Center Nashville Tennessee USA.
Megan DonohueDepartment of Emergency Medicine Virginia Commonwealth University Richmond Virginia USA.
Lisa MerckDepartment of Emergency Medicine Virginia Commonwealth University Richmond Virginia USA.
Jarrod MosierDepartment of Emergency Medicine The University of Arizona College of Medicine Tucson Arizona USA.ORCID https://orcid.org/0000-0002-5371-0845
Strategies to Innovate Emergency Care Clinical Trials Network (SIREN) investigators

Funding

SIREN CORE-EM HUB ALLIANCEU24NS100673 · NINDS · VIRGINIA COMMONWEALTH UNIVERSITY · PI Kayleigh Ann Fischer, Lisa H Merck · 2017 to 2026
$2.0M
NINDS NIH HHS U24 NS100673
6 · The paper itself

Abstract

Cardiac arrest is a leading contributor to morbidity and mortality in the United States. Survival has been historically dependent on high-quality cardiopulmonary resuscitation (CPR) and rapid defibrillation. However, a large percentage of patients remain in refractory cardiac arrest despite adherence to structured advanced cardiac life support algorithms in which these factors are emphasized. Veno-arterial extracorporeal membrane oxygenation is becoming an increasingly used rescue therapy for patients in refractory cardiac arrest to restore oxygen delivery by extracorporeal CPR (ECPR). Recently published clinical trials have provided new insights into ECPR for patients who sustain an outside hospital cardiac arrest (OHCA). In this narrative review, we summarize the rationale for, results of, and remaining questions from these recently published clinical trials. The existing observational data combined with the latest clinical trials suggest ECPR improves mortality in patients in refractory arrest. However, a mixed methods trial is essential to understand the complexity, context, and effectiveness of implementing an ECPR program.

Identifiers

PMID38434097
PMCPMC10904351

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.