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Title: Extracorporeal Membrane Oxygenation for Cardiac Arrest: Does Age Matter?

Category: Critical Care

Posted: 1/8/2025 by William Teeter, MD

Extracorporeal cardiopulmonary resuscitation (ECPR) is a type of extracorporeal support following cardiac arrest available at a small, but growing number of ECMO centers around the world. After some initial promising results, more recent data have been mixed. There is a nice narrative review in JACEP Open recently which summarizes the most recent evidence. Implementation considerations and patient selection seemingly drive the variance seen in the studies reviewed.

To this point, a new article from Critical Care Medicine was just published looking at the outcomes of eCPR with respect to age using  5 years of ELSO patient data. Unsurprisingly, advancing age is associated with worse outcomes, with significantly reduced odds of survival above the age of 65.

References

https://pmc.ncbi.nlm.nih.gov/articles/PMC10800292/

https://pmc.ncbi.nlm.nih.gov/articles/PMC11267242/


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