Parameter | Prehospital ROSC (n = 83) | No ROSC and ACLS (n = 81) | No ROSC and ECPR (n = 92) | P value |
---|---|---|---|---|
Admitted to the hospital | 83 (100%) | 35 (43.2%) | 92 (100%) | < 0.001 |
Achieved ROSC | 83 (100%) | 9 (11.1%) | NA | 0.002 |
Laboratory on admission | ||||
pH | 7.13 (7–7.19) | 6.85 (6.75–6.91) | 6.86 (6.75–6.98) | < 0.001 |
Lactate (mmol/L) | 8.2 (6.2–11.5) | 13.6 (11.1–17.5) | 13.7 (10.95–17.0) | < 0.001 |
ECLS therapy | 1 (1.2%)* | 0 | 92 (100%)** | < 0.001 |
TTM used | 78 (94%) | 10 (28.6%) | 90 (97.8%) | < 0.001 |
Coronary angiography | 78 (94%) | 14 (40%) | 89 (97.8%) | < 0.001 |
PCI | 37 (47.4%) | 4 (28.6%) | 51 (57.3%) | 0.1 |
Successful | 31 (83.8%) | 2 (50%) | 47 (92.2%) | 0.04 |
Unsuccessful | 6 (16.2%) | 2 (50%) | 4 (7.8%) | |
Cause of death | ||||
Refractory arrest | 1 (2.9%) | 72 (90%) | 7 (9.9%) | < 0.001 |
Brain death | 9 (26.5%) | 2 (2.5%) | 19 (26.8%) | |
MODS | 17 (50%) | 4 (5%) | 31 (43.7%) | |
Cardiogenic shock | 3 (8.8%) | 1 (1.3%) | 10 (14.1%) | |
UNK | 4 (11.8%) | 0 (0%) | 1 (1.4%) | |
Bleeding | 0 (0%) | 1 (1.3%) | 3 (4.2%) | |
WLST | 13 (15.7%) | 2 (2.5%) | 20 (21.7%) | < 0.001 |
Complications | ||||
Bleeding—any*** | 5 (6.1%) | 1 (8.3%) | 40 (44%) | < 0.001 |
Fatal | 0 (0%) | 1 (100%) | 3 (7.5%) | 0.03 |
Intracranial | 1 (20%) | 0 (0%) | 9 (22%) | |
Overt | 4 (80%) | 0 (0%) | 28 (70%) | |
Organ lacerations | 2 (2.7%) | 2 (3.3%) | 3 (3.6%) | 0.95 |
Technical | 0 (0%) | 0 (0%) | 3 (3.3%) | 0.07 |
Length of ICU stay (days) | ||||
Survivors | 11 (8–15) | 5 (5–5) | 16 (11–29) | 0.007 |
Deceased | 6 (2–9.5) | 1 (1–1) | 3 (2–8) | < 0.001 |