Association between gasping and survival among out-of-hospital cardiac arrest patients undergoing extracorporeal cardiopulmonary resuscitation: The SOS-KANTO 2017 study

This study aimed to assess the association between gasping and survival among out-of-hospital cardiac arrest (OHCA) patients requiring extracorporeal cardiopulmonary resuscitation (ECPR). This prospective, multicenter, observational study was conducted between 2019 and 2021. We categorized adult pat...

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Published in:Resuscitation plus 2024-06, Vol.18, p.100622-100622, Article 100622
Main Authors: Aoki, Makoto, Aso, Shotaro, Okada, Yohei, Kawauchi, Akira, Ogasawara, Tomoko, Tagami, Takashi, Sawada, Yusuke, Yasunaga, Hideo, Kitamura, Nobuya, Oshima, Kiyohiro
Format: Article
Language:English
Subjects:
Cardiopulmonary resuscitation
Clinical Paper
Extracorporeal cardiopulmonary resuscitation
Gasping
Out-of-hospital cardiac arrest
Sign of life
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Summary:This study aimed to assess the association between gasping and survival among out-of-hospital cardiac arrest (OHCA) patients requiring extracorporeal cardiopulmonary resuscitation (ECPR). This prospective, multicenter, observational study was conducted between 2019 and 2021. We categorized adult patients requiring ECPR into those with or without gasping prior to hospital arrival. The primary outcome was the 30-day survival. We performed multivariable logistic regression analyses fitted with generalized estimating equations and subgroup analyses based on the initial rhythm and age. Of the 9,909 patients with OHCA requiring ECPR, 332 were enrolled in the present study, including 92 (27.7%) and 240 (72.3%) with and without gasping, respectively. The 30-day survival was higher in patients with gasping than in those without gasping (35.9% [33/92] vs. 16.2% [39/240]). In the logistic regression analysis, gasping was significantly associated with improved 30-day survival (adjusted odds ratio: 3.01; 95% confidence interval, 1.64–5.51). Subgroup analyses demonstrated similar trends in patients with an initial non-shockable rhythm and older age. Gasping was associated with improved survival in OHCA patients requiring ECPR, even those with an initial non-shockable rhythm and older age. Clinicians may select the candidates for ECPR appropriately based on the presence of gasping.
ISSN:2666-5204
2666-5204
DOI:10.1016/j.resplu.2024.100622