Impact of routine extracorporeal cardiopulmonary resuscitation service on the availability of donor organs
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F25%3A00085687" target="_blank" >RIV/00023001:_____/25:00085687 - isvavai.cz</a>
Alternative codes found
RIV/68407700:21730/25:00390753 RIV/00216208:11110/25:10486245 RIV/00064203:_____/25:10486245 RIV/00064165:_____/25:10486245
Result on the web
<a href="https://www.sciencedirect.com/science/article/pii/S105324982401862X?via%3Dihub" target="_blank" >https://www.sciencedirect.com/science/article/pii/S105324982401862X?via%3Dihub</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.healun.2024.09.009" target="_blank" >10.1016/j.healun.2024.09.009</a>
Alternative languages
Result language
angličtina
Original language name
Impact of routine extracorporeal cardiopulmonary resuscitation service on the availability of donor organs
Original language description
BACKGROUND: In refractory cardiac arrest, extracorporeal cardiopulmonary resuscitation may increase the survival chance. However, in cases of unsuccessful treatment, extracorporeal cardiopulmonary resuscitation may additionally provide an important source of organ donors. Therefore, we hypothesized that implementing extracorporeal cardiopulmonary resuscitation service into a highvolume cardiac arrest center's routine would increases organ donors' availability. METHODS: Our retrospective observational study analyzed out-of-hospital cardiac arrest patients admitted to the General University Hospital in Prague between 2007 and 2020. The following groups were analyzed regarding the recruitment of donors: before and after extracorporeal cardiopulmonary resuscitation implementation. We assessed the number of donors referred, the number of organs harvested, and the organ's survival. RESULTS: We analyzed the results of 1,158 patients after out-of-hospital cardiac arrest. In the conventional approach period, 11 donors were referred, of which 7 were accepted. During the extracorporeal cardiopulmonary resuscitation period, the number of donors increased to 80, of whom 42 were accepted. The number of donated organs was 18 and 119 in the respective periods, corresponding to 3.6 vs 13.2 (p = 0.033) harvested organs per year. One-year survival of transplanted organs was 94.4% vs 99.2%, and 5-year survival was 94.4% vs 95.9% in relevant periods. Conventional and extracorporeal cardiopulmonary resuscitation did not affect donor organ survival. CONCLUSION: Establishing a high-volume cardiac arrest center providing an extracorporeal cardio-pulmonary resuscitation service may increase not only the number of prolonged cardiac arrest survi-vors but also the number of organ donors. In addition, the performances of donated organs were high and comparable between both treatment methods. J Heart Lung Transplant 2025;44:872-879 (c) Published by Elsevier Inc. on behalf of International Society for Heart and Lung Transplantation.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30213 - Transplantation
Result continuities
Project
—
Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Journal of heart and lung transplantation
ISSN
1053-2498
e-ISSN
1557-3117
Volume of the periodical
44
Issue of the periodical within the volume
6
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
872-879
UT code for WoS article
001503686500004
EID of the result in the Scopus database
2-s2.0-85205377800