Age as a Mortality Predictor in ECPR Patients
Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články, přehledy
PubMed
39336485
PubMed Central
PMC11433963
DOI
10.3390/medicina60091444
PII: medicina60091444
Knihovny.cz E-zdroje
- Klíčová slova
- ECMO, ECPR, age, cardiopulmonary, extracorporeal, outcomes, resuscitation,
- MeSH
- kardiopulmonální resuscitace metody MeSH
- lidé MeSH
- mimotělní membránová oxygenace * mortalita MeSH
- srdeční zástava mortalita terapie MeSH
- věkové faktory MeSH
- zástava srdce mimo nemocnici mortalita terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Extracorporeal cardiopulmonary resuscitation (ECPR) is an advanced technique using extracorporeal membrane oxygenation (ECMO) to support patients with refractory cardiac arrest. Age significantly influences ECPR outcomes, with younger patients generally experiencing better survival and neurological outcomes due to many aspects. This review explores the impact of age on ECPR effectiveness, emphasizing the need to consider age alongside other clinical factors in patient selection. Survival rates differ notably between in-hospital (IHCA) and out-of-hospital cardiac arrest (OHCA), highlighting the importance of rapid intervention. The potential of artificial intelligence to develop predictive models for ECPR outcomes is discussed, aiming to improve decision-making. Ethical considerations around age-based treatment decisions are also addressed. This review advocates for a balanced approach to ECPR, integrating clinical and ethical perspectives to optimize patient outcomes across all age groups.
3rd Faculty of Medicine Charles University 128 08 Prague Czech Republic
Department of Cardiology Hospital AGEL Trinec Podlesi a s 739 61 Trinec Czech Republic
Faculty of Medicine Masaryk University 601 77 Brno Czech Republic
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