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| Name | Class |
|---|---|
| Emergency Medical Services, Moravian-Silesian Region | UNKNOWN |
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This study evaluates the feasibility of implementing a mobile extracorporeal membrane oxygenation (ECMO) team and optimizing patient transport logistics.
The aim of the study is to improve neurological outcomes in out-of-hospital cardiac arrest (OHCA) cases in the Moravian-Silesian Region. By analysing regional epidemiological and demographic data, the project aims to identify key factors for reducing the time from collapse to the initiation of ECMO and to support the development of effective protocols for extracorporeal cardiopulmonary resuscitation (ECPR).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ECPR and ECMO | Patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Extracorporeal cardiopulmonary resuscitation (ECPR) | Procedure | Extracorporeal cardiopulmonary resuscitation (commonly known as ECPR) is a method of cardiopulmonary resuscitation (CPR) that passes the patient's blood through a machine in a process to oxygenate the blood supply. |
| Measure | Description | Time Frame |
|---|---|---|
| Neurological outcome after 30 days (CPC score) | Assessment of the neurological status of patients 30 days after the event using the Cerebral Performance Category (CPC) scale, which measures the extent of neurological impairment:
| 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Time from collapse to initiation of ECMO | Measuring the time (in minutes) from patient collapse to ECMO initiation. The aim is to analyse how this time affects neurological outcome. | Up to 2 hours |
| Transport time to the ECMO centre |
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Inclusion Criteria:
Exclusion Criteria:
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Patients indicated for ECPR after out-of-hospital cardiac arrest, for whom transport of the patient to an ECMO centre or deployment of an ECMO team is logistically manage-able.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jiří Hynčica | Contact | 0042059737 | 2587 | jiri.hyncica@fno.cz |
| Name | Affiliation | Role |
|---|---|---|
| Nela Walachová, Mgr. | University Hospital Ostravs | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emergency Medial Services, Moravian-Silesian Region | Recruiting | Ostrava | Moravian-Silesian Region | 70030 | Czechia |
There is no plan to make individual participant data available to other researchers. The data may be provided upon request.
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Measurement of the time (in minutes) from the arrival of the Emergency Medical Services (EMS) at the scene to the admission of the patient to the ECMO centre.
| Up to 2 hours |
| Arrival time for the mobile ECMO team to the scene | Time interval (in minutes) from activation of the mobile ECMO team to its arrival at the scene. The aim is to evaluate the effectiveness of the model and the potential time benefit of intervention in the field. | Up to 2 hours |
| University Hospital Ostrava | Recruiting | Ostrava | Moravian-Silesian Region | 70852 | Czechia |
|
| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| D058687 | Out-of-Hospital Cardiac Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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