BACKGROUND: In refractory @entity1167 , with cardiopulmonary resuscitation (CPR) for more than 30 min, chances of survival are small. Extracorporeal cardiopulmonary resuscitation (ECPR) is an option for certain @entity1 with @entity1167 . The aim of this study was to evaluate characteristics of @entity1 selected for ECPR. METHODS: Anonymised data of adult @entity1 suffering refractory @entity1167 , transported with ongoing CPR to an @entity2613 of a tertiary care centre between 2002 and 2012 were analysed. Outcome measure was the selection for ECPR. Secondary outcome was 180 days survival in good @entity16 . RESULTS: Overall, 239 @entity1 fulfilled the inclusion criteria. ECPR was initiated in seven @entity1 . @entity1 treated with ECPR were younger (46 vs 60 years; p=0.04), had shorter intervals before CPR was started (0 vs 1 min; p=0.013), faster admissions at the @entity2613 (38 vs 56 min; p=0.31) and lower blood @entity413 levels on admission (14 vs 21 mmol/L; p=0.018). Survival to discharge in good @entity16 was achieved in 14 (6%) of all @entity1 . One @entity1 in the ECPR group survived in excellent @entity16 . Age was independently associated with the selection for ECPR (OR 0.07; 95% CI 0.01 to 0.85; p=0.037). CONCLUSIONS: Emergency extracorporeal life support was used for a highly selected group of @entity1 in refractory @entity1167 . Several parameters were associated with the decision, but only age was independently associated with the selection for ECPR. The @entity1 selection resulting in a survival of one @entity1 out of seven treated seems reasonable. Randomised controlled trials evaluating the age limit as selection criteria are urgently needed to confirm these findings.

Emergency extracorporeal life support and ongoing resuscitation: a retrospective comparison for refractory out-of-hospital XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological condition'] @entity2613 :: ('MESH:C536181', 'Disease') :: ['ED'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity413 :: ('MESH:D005947', 'Chemical') :: ['glucose']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
