Table 2.
Outcomes measures of patients with out-of-hospital cardiac arrest admitted to Aarhus University Hospital.
| Parameter | ROSC on admission (n = 698) | Refractory OHCA with MCS (n = 101) | Refractory without MCS (n = 216) |
|---|---|---|---|
| V-A ECMO only | 1 (0.14) | 93 (92) | - |
| Impella only | 14 (2) | 4 (4) | - |
| V-A ECMO + Impella | 1 (0.14) | 4 (4) | - |
| Impella for unloading | 1 (100) | 2 (50) | - |
| CAG | 661 (95) | 93 (92) | 46 (21) |
| PCI | 355 (51) | 76 (75) | 24 (11) |
| Culprit | |||
| LM | 20 (6) | 11 (15) | 5 (21) |
| LAD | 169 (48) | 48 (63) | 10 (42) |
| LCX | 81 (23) | 3 (4) | 1 (4) |
| RCA | 84 (24) | 13 (13) | 8 (33) |
| Graft | 1 (0.3) | 1 (1) | 0 (0) |
| Treatment termination before ICU | 23 (3) | 12 (12) | 204 (94) |
| Hospital length of stay (days) | 8 [4–15] | 2 [0–21] | 0 [0-0] |
| No. of patients admitted to general cardiac ward | 201(29) | - | - |
| Hospital length of stay (days) | 6 [3–10] | - | - |
| No. of patients admitted to ICU | 497 (71) | 89 (88) | 12 (6) |
| TTM | 361 (72) | 86 (97) | 1 (50) |
| CRRT | 23 (5) | 29 (26) | 1 (8) |
| ICU length of stay (days) | 2 [1–5] | 11 [6–19] | 6 [2–26] |
| Complications to MCS | |||
| Bleeding at cannulation site | - | 30 (30) | - |
| Gastrointestinal bleeding | - | 10 (10) | - |
| Gastrointestinal ischaemia | - | 6 (6) | - |
| Limb ischaemia | - | 5 (5) | - |
| Ischaemic stroke | - | 2 (2) | - |
| Outcome data | |||
| 30-day survival | 451 (65) | 29 (29) | 2 (1) |
| Hospital discharge | 449 (64) | 27 (27) | 2 (1) |
| Neurological outcome at discharge | |||
| CPC 1 | 291 (42) | 17 (17) | - |
| CPC 2 | 122 (17) | 8 (8) | 1 (0.5) |
| CPC 3 | 27 (4) | 2 (2) | - |
| CPC 4 | 2 (0.3) | 1 (1) | - |
| CPC 5 | 248 (36) | 73 (73) | 215 (99.5) |
| Unknown | 8 (1) | - | - |
| One-year survival | 430 (62) | 24 (24) | 2 (1) |
Data are presented as median and interquartile ranges and absolute number and percentages.
Abbreviations: CAG coronary angiography, CPC cerebral performance category, CRRT continuous renal replacement therapy, ICU intensive care unit, LAD left anterior descending artery, LCX left circumflex artery, LM left main artery, MCS mechanical circulatory support, PCI percutaneous coronary intervention, RCA right coronary artery, ROSC return of spontaneous circulation, TTM targeted temperature management, V-A ECMO veno-arterial extracorporeal membrane oxygenation.