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Assessing need for extracorporeal cardiopulmonary resuscitation for out‐of‐hospital cardiac arrest using Power BI for data visualisation
Author(s) -
Ramanan Mahesh,
Gill Denzil,
Doan Tan,
Bosley Emma,
Rashford Stephen,
Dennis Mark,
Shekar Kiran
Publication year - 2021
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13704
Subject(s) - medicine , extracorporeal cardiopulmonary resuscitation , retrospective cohort study , emergency medicine , refractory (planetary science) , cardiopulmonary resuscitation , ambulance service , resuscitation , medical emergency , physics , astrobiology
Objective To estimate the number of patients in refractory out‐of‐hospital cardiac arrest (OHCA) potentially suitable for transport to an extracorporeal cardiopulmonary resuscitation (ECPR)‐capable hospital in Brisbane, Queensland, Australia, based on outcome predictors for ECPR, ambulance geolocation and patient data. Methods A retrospective cohort study was performed using data from all patients in OHCA attended by Queensland Ambulance Service between 1 January 2014 and 31 December 2018. The number of refractory arrest patients who could potentially be transferred to an ECPR‐capable centre within 45 min of the time of arrest was modelled using theoretical on‐scene treatment times. Results Of 25 518 ambulance‐attended OHCA in Queensland during the study period, 540 (2%) patients met criteria of refractory arrest for study inclusion. Further age and arrest rhythm criteria for transport to an ECPR‐capable hospital were met in 253 (47%) study patients, an average of 51 patients per year. In 2018, 72 patients met study criteria for transport to an ECPR‐capable centre. Based on theoretical on‐scene treatment times of 12 and 20 min, in 2018 only 14 (19%) and 11 (15%) patients respectively would potentially arrive at an ECPR‐capable hospital within accepted timeframes for ECPR. Conclusions Retrospective data collected from existing ambulance databases can be used to model patient suitability for ECPR. Relatively few patients with refractory OHCA in Queensland, Australia, could be attended and transported to an ECPR‐capable centre within clinically acceptable timeframes. Further studies of the transport logistics and economic implications of providing ECPR services for OHCA are required to better inform decisions around this intervention.