Rescue extracorporeal cardiopulmonary resuscitation in pediatric patients: a nine-year single-center experience in Zagreb, Croatia

Scientific paper - Original scientific paper

• Author: Matija Bakoš
• Author: Toni Matić
• Author: Filip Rubić
• Author: Slobodan Galić
• Author: Miran Cvitković
• Author: Sandro Dessardo
• Author: Darko Anić
• Author: Dražen Belina
• Author: Milivoj Novak
• Author's institution: University of Zagreb; School of Medicine; (Department of Pediatrics)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Pediatrics

Abstract (english)

Aim: To investigate the risk factors and the outcomes of extracorporeal membrane oxygenation (ECMO) in pediatric patients treated at the University Hospital Center Zagreb, the largest center in Croatia providing pediatric ECMO.
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Methods: This retrospective study enrolled all the pediatric patients who required E-CPR from 2011 to 2019. Demographic data, cardiac anatomy, ECMO indications, ECMO complications, and neurodevelopmental status at hospital discharge were analyzed.
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Results: In the investigated period, E-CPR was used in 16 children, and the overall survival rate was 37.5%. Six patients were in the neonatal age group, 5 in the infant group, and 5 in the "older" group. There was no significant difference between the sexes. Four patients had an out-of-hospital arrest and 12 had an in-hospital arrest. Twelve out of 16 patients experienced renal failure and needed hemodialysis, with 4 out of 6 patients in the survivor group and 8 out of 10 in the non-survivor group. Survivors and non-survivors did not differ in E-CPR duration time, lactate levels before ECMO, time for lactate normalization, and pH levels before and after the start of ECMO.
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Conclusion: The similarity of our results to those obtained by other studies indicates that the ECMO program in our hospital should be maintained and improved.

• Keywords (english): Cardiopulmonary Resuscitation; Child; Croatia / epidemiology; Extracorporeal Membrane Oxygenation; Humans; Infant; Retrospective Studies; Survival Rate; Treatment Outcome
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Croatian Medical Journal
• Numbering: vol. 62, no. 2, pp. 146-153
• p-ISSN: 0353-9504
• e-ISSN: 1332-8166
• DOI: https://doi.org/10.3325/cmj.2021.62.146
• URN:NBN: urn:nbn:hr:105:230212
• Publication: 2021-04-30
• Document URL: http://www.cmj.hr/2021/62/2/33938654.htm
• Type of resource: Text
• Access conditions: Open access
• Created on: 2021-05-05 11:25:49