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| Name | Class |
|---|---|
| Wroclaw Emergency Medical Services | UNKNOWN |
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The purpose of this study is to assess the efficacy of institutionalized care program of patients with out-of-hospital cardiac arrest.
Patients with out-of-hospital cardiac arrest included in the program will be treated with extracorporeal membrane oxygenation (ECMO) assisted cardiopulmonary resuscitation (CPR) with additional invasive procedures including coronary/pulmonary angiography and intervention. This type of treatment was not provided in institutionalized fashion in Wroclaw, Poland. Implementation of this program should improve survival in out-of-hospital cardiac arrest patients, which currently is less than 10%.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Out-of-hospital cardiac arrest | Patients with out-of-hospital cardiac arrest which occured in the predefined area of the city of Wroclaw. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ECMO assisted CPR in out-of-hospital cardiac arrest | Other | Patients included in the registry will be transferred during LUCAS assisted CPR by the Wroclaw Emergency Medical Services to the Emergency Department of the Wroclaw University Hospital where blood gasses will be assessed. If two or more of the following: end-tidal carbon dioxide (CO2) > 10 mm Hg, arterial partial pressure of oxygen (PaO2) >50 mm Hg or oxygen saturation >85%, and lactic acid <18 mmol/L will be fulfilled patient will be further transferred to the Cardiac Catheterization Laboratory for V-A ECMO implantation followed by coronary/pulmonary artery angiography and intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| mortality | all cause mortality | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| degree of disability | Modified Rankin Scale of 3 or lower | 3 and 6 months after index event |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with out-of-hospital cardiac arrest which occured in the predefined area of the city of Wroclaw, Poland.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wiktor Kuliczkowski, MD | Contact | + 48 603 707 093 | wiktor.kuliczkowski@umw.edu.pl |
| Name | Affiliation | Role |
|---|---|---|
| Wiktor Kuliczkowski, MD | Wroclaw Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wroclaw University Hostpital | Recruiting | Wroclaw | 50-556 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32550730 | Background | Sip M, Puslecki M, Klosiewicz T, Zalewski R, Dabrowski M, Ligowski M, Goszczynska E, Paprocki C, Grygier M, Lesiak M, Jemielity M, Perek B. A concept for the development of a pioneer regional Out-of-Hospital Cardiac Arrest Program to improve patient outcomes. Kardiol Pol. 2020 Sep 25;78(9):875-881. doi: 10.33963/KP.15433. Epub 2020 Jun 16. | |
| 33197396 |
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| ID | Term |
|---|---|
| D058687 | Out-of-Hospital Cardiac Arrest |
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Yannopoulos D, Bartos J, Raveendran G, Walser E, Connett J, Murray TA, Collins G, Zhang L, Kalra R, Kosmopoulos M, John R, Shaffer A, Frascone RJ, Wesley K, Conterato M, Biros M, Tolar J, Aufderheide TP. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST): a phase 2, single centre, open-label, randomised controlled trial. Lancet. 2020 Dec 5;396(10265):1807-1816. doi: 10.1016/S0140-6736(20)32338-2. Epub 2020 Nov 13. |