Optimization of Transport and Use of a Mobile ECMO Team in Patients With Sudden Cardiac Arrest in the Moravian-Silesian Region

University Hospital Ostrava100 enrolled

Overview

This study evaluates the feasibility of implementing a mobile extracorporeal membrane oxygenation (ECMO) team and optimizing patient transport logistics.

The aim of the study is to improve neurological outcomes in out-of-hospital cardiac arrest (OHCA) cases in the Moravian-Silesian Region. By analysing regional epidemiological and demographic data, the project aims to identify key factors for reducing the time from collapse to the initiation of ECMO and to support the development of effective protocols for extracorporeal cardiopulmonary resuscitation (ECPR).

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Cardiac Arrest With Successful Resuscitation Cardiac Arrest, Cause Unspecified

Interventions

Extracorporeal cardiopulmonary resuscitation (ECPR)PROCEDURE

Extracorporeal cardiopulmonary resuscitation (commonly known as ECPR) is a method of cardiopulmonary resuscitation (CPR) that passes the patient's blood through a machine in a process to oxygenate the blood supply.

Eligibility

Sex: ALLMin age: 3 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * out-of-hospital cardiac arrest * indication for ECPR Exclusion Criteria: * death at the scene of the accident * withdrawal of the informed consent

Locations (2)

Emergency Medial Services, Moravian-Silesian Region

Ostrava, Moravian-Silesian Region, Czechia

RECRUITING

University Hospital Ostrava

Ostrava, Moravian-Silesian Region, Czechia

RECRUITING

Outcomes

Primary Outcomes

Neurological outcome after 30 days (CPC score)

Assessment of the neurological status of patients 30 days after the event using the Cerebral Performance Category (CPC) scale, which measures the extent of neurological impairment: * CPC 1 = good neurological condition * CPC 2 = mild impairment * CPC 3-5 = serious impairment, vegetative state or death The primary endpoint of the study is the proportion of patients with a favourable neurological outcome (CPC 1-2).

Time frame: 30 days

Secondary Outcomes

Time from collapse to initiation of ECMO

Measuring the time (in minutes) from patient collapse to ECMO initiation. The aim is to analyse how this time affects neurological outcome.

Time frame: Up to 2 hours

Transport time to the ECMO centre

Measurement of the time (in minutes) from the arrival of the Emergency Medical Services (EMS) at the scene to the admission of the patient to the ECMO centre.

Time frame: Up to 2 hours

Arrival time for the mobile ECMO team to the scene

Time interval (in minutes) from activation of the mobile ECMO team to its arrival at the scene. The aim is to evaluate the effectiveness of the model and the potential time benefit of intervention in the field.

Time frame: Up to 2 hours

Central Contacts

Jiří Hynčica

CONTACT

0042059737 jiri.hyncica@fno.cz

Data from ClinicalTrials.gov

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