预测 ECPR 患者死亡率的年龄因素

Q4 Medicine

Medicina Pub Date : 2024-09-04 DOI:10.3390/medicina60091444

Radim Spacek, Vojtech Weiss, Petra Kavalkova, Otakar Jiravsky, Jan Barcak, Jan Belohlavek

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引用次数: 0

摘要

体外心肺复苏（ECPR）是一种利用体外膜肺氧合（ECMO）为难治性心脏骤停患者提供支持的先进技术。年龄对 ECPR 的疗效有很大影响，由于许多方面的原因，年轻患者的存活率和神经系统疗效通常更好。本综述探讨了年龄对 ECPR 效果的影响，强调在选择患者时需要将年龄与其他临床因素一并考虑。院内心脏骤停（IHCA）和院外心脏骤停（OHCA）的存活率差别很大，这突出了快速干预的重要性。本文讨论了人工智能开发 ECPR 结果预测模型的潜力，旨在改进决策。此外，还讨论了基于年龄的治疗决策的伦理考虑因素。本综述提倡采用平衡的 ECPR 方法，综合临床和伦理角度，优化所有年龄组患者的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Age as a Mortality Predictor in ECPR Patients

Extracorporeal cardiopulmonary resuscitation (ECPR) is an advanced technique using extracorporeal membrane oxygenation (ECMO) to support patients with refractory cardiac arrest. Age significantly influences ECPR outcomes, with younger patients generally experiencing better survival and neurological outcomes due to many aspects. This review explores the impact of age on ECPR effectiveness, emphasizing the need to consider age alongside other clinical factors in patient selection. Survival rates differ notably between in-hospital (IHCA) and out-of-hospital cardiac arrest (OHCA), highlighting the importance of rapid intervention. The potential of artificial intelligence to develop predictive models for ECPR outcomes is discussed, aiming to improve decision-making. Ethical considerations around age-based treatment decisions are also addressed. This review advocates for a balanced approach to ECPR, integrating clinical and ethical perspectives to optimize patient outcomes across all age groups.

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来源期刊

Medicina Medicine-Medicine (all)

CiteScore

0.10

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： Publicada con el apoyo del Ministerio de Ciencia, Tecnología e Innovación Productiva. Medicina no tiene propósitos comerciales. El objeto de su creación ha sido propender al adelanto de la medicina argentina. Los beneficios que pudieran obtenerse serán aplicados exclusivamente a ese fin.