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Table 1 Comparison between patients who underwent ECPR with and without gasping during resuscitation

From: Long-term prognostic significance of gasping in out-of-hospital cardiac arrest patients undergoing extracorporeal cardiopulmonary resuscitation: a post hoc analysis of a multi-center prospective cohort study

 

Presence of gasping during resuscitation

Absence of gasping during resuscitation

p value

 

n = 47

n = 165

 

Age (years), median [IQR]

58 [48, 65]

59 [48, 64]

0.678

Sex (female), n (%)

5 (10.6)

14 (8.5)

0.772

Witnessed cardiac arrest, n (%)

39 (83.0)

118 (71.5)

0.133

Bystander CPR attempt, n (%)

  

0.123

 Yes

28 (59.6)

78 (47.3)

 

 No

18 (38.3)

86 (52.1)

 

 Unknown

1 (2.1)

1 (0.6)

 

Occurrence of cardiac arrest during EMS activity, n (%)

4 (8.5)

3 (1.8)

0.045

Epinephrine administration before hospital arrival, n (%)

0.879

 Yes

22 (46.8)

76 (46.1)

 

 No

24 (51.1)

81 (49.1)

 

 Unknown

1 (2.1)

8 (4.8)

 

ROSC during EMS transportation, n (%)

 

0.643

 Yes

11 (23.4)

29 (17.6)

 

 No

34 (72.3)

127 (77.0)

 

 Unknown

2 (4.3)

9 (5.5)

 

Time from cardiac arrest to admission, median [IQR]

33 [23, 41]

31 [26, 38]

0.951

Cardiac rhythm at admission, n (%)

  

0.002

 VF of pulseless VT

38 (80.9)

86 (52.1)

 

 PEA

4 (8.5)

38 (23.0)

 

 Asystole

5 (10.6)

41 (24.8)

 

Epinephrine administration after hospital arrival, n (%)

0.542

 Yes

40 (85.1)

128 (77.6)

 

 No

7 (14.9)

36 (21.8)

 

 Unknown

0 (0.0)

1 (0.6)

 

Time from arrival to ECMO pump on, median [IQR]

22 [17, 37]

23 [17, 33]

0.869

Outcome at 6 months

   

 CPC 1–2, n (%)

11 (23.4)

7 (4.2)

 < 0.001

 Survival, n (%)

15 (31.9)

23 (13.9)

0.009

  1. IQR interquartile range, CPR cardiopulmonary resuscitation, ROSC return of spontaneous circulation, EMS emergency medical service, VF ventricular fibrillation, VT ventricular tachycardia, PEA pulseless electrical activity, ECMO extracorporeal membrane oxygenation, CPC cerebral performance