| 論文種別 | 原著(症例報告除く) |
| 言語種別 | 英語 |
| 査読の有無 | その他(不明) |
| 表題 | Association Between Annual Procedural Volume and Outcomes in Extracorporeal Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest: A Nationwide Cohort Study in Japan (the JAAM-OHCA Registry). |
| 掲載誌名 | 正式名：ASAIO journal (American Society for Artificial Internal Organs : 1992) 略 称：ASAIO J ISSNコード：1538943X/10582916 |
| 掲載区分 | 国外 |
| 巻・号・頁 | pp.Online ahead of print |
| 著者・共著者 | Shunichiro Nakao, Taro Irisawa, Tomoki Yamada, Kazuhisa Yoshiya, Changhwi Park, Tetsuro Nishimura, Takuya Ishibe, Kazuma Yamakawa, Takeyuki Kiguchi, Masafumi Kishimoto, Kohei Ninomiya, Yusuke Ito, Taku Sogabe, Takaya Morooka, Haruko Sakamoto, Yuki Hironaka, Atsunori Onoe, Tasuku Matsuyama, Norihiro Nishioka, Yohei Okada, Satoshi Matsui, Satoshi Yoshimura, Shunsuke Kimata, Shunsuke Kawai, Yuto Makino, Ling Zha, Kosuke Kiyohara, Tetsuhisa Kitamura, Taku Iwami, Jun Oda, |
| 発行年月 | 2025/04 |
| 概要 | Extracorporeal cardiopulmonary resuscitation (ECPR) requires advanced skills for induction and management. This study evaluated whether the outcomes of ECPR differ by institutional volume. Using the Japanese Association for Acute Medicine-Out-of-Hospital Cardiac Arrest (JAAM-OHCA) registry, we analyzed adult patients (aged ≥18 years) who received ECPR between 2014 and 2020, focusing on 30 day in-hospital survival and favorable neurologic prognosis at 30 days defined as Cerebral Performance Category (CPC) 1-2. Facilities were categorized into tertiles by annual ECPR volume. Multivariable logistic regression examined outcomes across low (≤4.7 cases/year), medium (4.8-7.8 cases/year), and high (≥7.9 cases/year) volume groups. A total of 1,759 patients from 83 centers were included, with an overall 30 day survival of 21.1% and CPC 1-2 rate of 10.1%. We observed no statistically significant differences in the respective rates of 30 day survival and neurologic outcomes in the medium ECPR volume group (adjusted odds ratios 1.09 [95% confidence interval {CI}, 0.82-1.47] and 0.85 [0.56-1.26]) and higher ECPR volume group (adjusted odds ratios 1.27 [95% CI, 0.95-1.70] and 1.11 [0.75-1.63]) compared with the lower ECPR volume group. These findings suggest that ECPR outcomes for out-of-hospital cardiac arrest are not significantly affected by institutional ECPR volume. |
| DOI | 10.1097/MAT.0000000000002450 |
| PMID | 40294333 |