• Ik Joon Jo, Tae Gun Shin, Min Sub Sim, Hyoung Gon Song, Yeon Kwon Jeong, Yong-Bien Song, Joo-Yong Hahn, Seung Hyuk Choi, Hyeon-Cheol Gwon, Eun-Seok Jeon, Wook Sung Kim, Young Tak Lee, Kiick Sung, and Jin-Ho Choi.
• Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
• Int. J. Cardiol. 2011 Aug 18;151(1):12-7.

BackgroundOutcome from in-hospital cardiopulmonary resuscitation (CPR) is still unsatisfactory. CPR assisted with percutaneous cardiopulmonary support (PCPS) is expected to improve the outcome of in-hospital CPR.MethodsWe retrospectively analyzed 83 consecutive cases of adult in-hospital CPR assisted by a portable pre-assembled auto-priming PCPS system (EBS, Terumo, Japan) from January 2004 to December 2007.ResultsPCPS was successfully performed in 97.6% of the patients and could be weaned in 57.8% of the patients. The survival-to-discharge rate was 41.0% with an acceptable neurological status in 85.3% of the patients. The 6-month survival was 38.6%. Survival-to-discharge decreased about 1% for each 1 min increase in the duration of CPR. The probability of survival was about 65%, 45%, and 19% when the duration of CPR was 10, 30, or 60 min, respectively. Multivariate analysis adjusted with clinical factors including organ dysfunction severity scores revealed that defibrillation and CPR duration less than 35 min were independent predictors for both survival-to-discharge (odds ratio=8.0, 95% CI=2.8-23.0, p<0.001) and 6-month survival (hazard ratio=3.3, 95% CI=1.9-5.9, p<0.001).ConclusionsOur results showed that CPR assisted with PCPS results in an acceptable survival-to-discharge rate and mid-term prognosis.Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

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