Prevalence of Near-Death Experiences (NDE) in Patients with Refractory Cardiac Arrest Treated with Conventional and Extracorporeal Cardiopulmonary Resuscitation
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F25%3A10499642" target="_blank" >RIV/00064165:_____/25:10499642 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/25:10499642
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=OcBefsk5g3" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=OcBefsk5g3</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.33678/cor.2025.031" target="_blank" >10.33678/cor.2025.031</a>
Alternative languages
Result language
angličtina
Original language name
Prevalence of Near-Death Experiences (NDE) in Patients with Refractory Cardiac Arrest Treated with Conventional and Extracorporeal Cardiopulmonary Resuscitation
Original language description
Objective: Near-death experiences (NDE) have not yet been studied in patients with refractory cardiac arrest treated with extracorporeal cardiopulmonary resuscitation (ECPR). The aim of this pilot project was to determine the prevalence of NDEs in patients from the randomized Prague OHCA study with refractory cardiac arrest and to analyze differences between patients resuscitated with standard cardiopulmonary resuscitation (CPR) and those resuscitated using the ECPR method. Methods: NDEs were analyzed using a standardized and internationally validated questionnaire among long-term survivors of the randomized Prague OHCA study. The prevalence of NDEs was compared between patients treated with standard CPR and those resuscitated with the ECPR method. Results: The questionnaire was completed by 44 out of 60 patients who were followed up long-term after the Prague OHCA study (median age: 57.5 years, 83% male, average CPR duration: 37.5 minutes), including 12 patients treated with ECPR (average cardiac arrest duration: 54 minutes). At least one symptom of NDE was experienced by 15/44 patients (34.1%), including 10/32 (31.3%) in the standard CPR group and 5/12 (41.6%) in the ECPR group (p = 0.52). Criteria for a complete NDE (score >= 28 on the NDE questionnaire) were met by 9/44 patients (20.5%), including 6/32 (18.8%) in the standard CPR group and 3/12 (25%) in the ECPR group (p = 0.65). Conclusion: The prevalence of NDEs in our cohort of patients with refractory cardiac arrest corresponds to the prevalence reported in previous studies that analyzed patients treated with standard CPR and shorter durations of cardiac arrest. The numerically higher occurrence of NDEs in patients treated with the ECPR strategy is hypothesis-generating but did not reach statistical significance. Further conclusions require analysis in larger patient cohorts.
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
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych 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
Cor et Vasa
ISSN
0010-8650
e-ISSN
1803-7712
Volume of the periodical
67
Issue of the periodical within the volume
3
Country of publishing house
CZ - CZECH REPUBLIC
Number of pages
5
Pages from-to
331-335
UT code for WoS article
001524062600002
EID of the result in the Scopus database
2-s2.0-105009944296