Early Mechanical Cardiopulmonary Resuscitation Can Improve Outcomes in Patients with Non-traumatic Cardiac Arrest in the Emergency Department

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2021 Jun 29

PMID 34182817

Citations 2

Authors

Li Luo

Xiaodong Zhang

Tao Xiang

Hang Dai

Jimei Zhang

GuangYing Zhuo

Yufang Sun

Xiaojun Deng

Wei Zhang

Ming Du

Affiliations

Soon will be listed here.

Abstract

Objective: To compare the outcomes of patients with non-traumatic cardiac arrest (CA) who received early versus late mechanical cardiopulmonary resuscitation (CPR) with the Lund University Cardiac Assist System (LUCAS) device in the emergency department (ED).

Methods: This was a retrospective observational study in the ED of a single medical center performed from May 2018 to December 2019; 68 patients with CA were eligible. We grouped the patients according to the time to initiating LUCAS use after CA into an early group (≤4 minutes) and late group (>4 minutes).

Results: The rate of return of spontaneous circulation (ROSC) was higher in the early group vs the late group (69.2% vs 52.4%, respectively). The 4-hour survival rate was significantly higher in the early group vs the late group (83.3% vs 45.5%, respectively), and CPR duration was significantly shorter in the early group (23.3 ± 12.5 vs 31.1 ± 14.8 minutes, respectively).

Conclusion: Early mechanical CPR can improve the success of achieving ROSC and the 4-hour survival rate in patients with non-traumatic CA in the ED, considering that more benefits were observed in patients who received early vs late LUCAS device therapy.

Citing Articles

Early prehospital mechanical cardiopulmonary resuscitation use for out-of-hospital cardiac arrest: an observational study.

Liu Y, Chen L, Huang S, Hsu S, Hsu C, Sun J BMC Emerg Med. 2024; 24(1):198.

PMID: 39427139 PMC: 11491000. DOI: 10.1186/s12873-024-01115-6.

Lund University Cardiac Arrest System and Percutaneous Coronary Intervention During Cardiac Arrest: Case Report and Review of Literature.

Patel A, Hwang C Cureus. 2022; 14(1):e21159.

PMID: 35165609 PMC: 8831361. DOI: 10.7759/cureus.21159.

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