A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest
Objective: There is currently no existing data examining the opinions of patients and families after treatment with extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA). We sought to interview family members and patients to learn from their experiences and sa...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-06-01
|
| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520421000540 |
| id |
doaj-b7c8b541bb744365a3e0d45da0fa21a5 |
|---|---|
| record_format |
Article |
| spelling |
doaj-b7c8b541bb744365a3e0d45da0fa21a52021-06-01T04:24:39ZengElsevierResuscitation Plus2666-52042021-06-016100129A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrestBrian Grunau0Katie Dainty1Ruth MacRedmond2Ken McDonald3Ayumi Sasaki4Aimee J. Sarti5Sam D. Shemie6Anson Cheung7John Gill8Department of Emergency Medicine, University of British Columbia, Canada; Centre for Health Evaluation & Outcome Sciences, Vancouver, B.C., Canada; St. Paul’s Hospital, Vancouver, B.C., Canada; Corresponding author at: 1081 Burrard St. Vancouver, B.C., V6Z 1Y6, Canada.North York General Hospital, Canada; University of Toronto, CanadaSt. Paul’s Hospital, Vancouver, B.C., Canada; Division of Critical Care, University of British Columbia, CanadaSt. Paul’s Hospital, Vancouver, B.C., Canada; Department of Anesthesiology, Pharmacology & Therapeutics, University of British Columbia, CanadaDivison of Nephrology, University of British Columbia, CanadaDepartment of Critical Care, The Ottawa Hospital, General Campus, Ottawa, Ontario, CanadaDivision of Pediatric Critical Care, McGill University, CanadaSt. Paul’s Hospital, Vancouver, B.C., Canada; Division of Cardiac Surgery, University of British Columbia, CanadaCentre for Health Evaluation & Outcome Sciences, Vancouver, B.C., Canada; St. Paul’s Hospital, Vancouver, B.C., Canada; Divison of Nephrology, University of British Columbia, CanadaObjective: There is currently no existing data examining the opinions of patients and families after treatment with extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA). We sought to interview family members and patients to learn from their experiences and satisfaction with treatment. Methods: We contacted family members and survivors for all cases treated with ECPR for refractory OHCA at St. Paul’s Hospital between January 2014 and July 2018. We performed semi-structured interviews with participants, specifically within the topics of: information sharing (including impressions of an ECPR informational pamphlet), prognostication, organ donation, and perceived value of ECPR. Due to low participant enrolment, we described all interviews in a narrative approach. Results: Within the study period, there were 23 OHCAs treated with ECPR; two survivors and three family members agreed to participate. Participants were satisfied with the treatment provided, including information sharing and prognostication. There were mixed opinions about the best method of information-sharing (verbal vs written), as well as the timing of organ donation conversations. All participants believed ECPR for OHCA to be of high value. Conclusion: Patient’s conveyed satisfaction with ECPR treatment, with mixed views on the best information sharing strategy. Further study is needed to define the optimal methods and timing for discussions of organ donation, especially for treatments of with a relatively low likelihood success.http://www.sciencedirect.com/science/article/pii/S2666520421000540Extracorporeal membrane oxygenationExtracorporeal cardiopulmonary resuscitationHeart arrestOut-of-hospital cardiac arrestCardiopulmonary resuscitation |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Brian Grunau Katie Dainty Ruth MacRedmond Ken McDonald Ayumi Sasaki Aimee J. Sarti Sam D. Shemie Anson Cheung John Gill |
| spellingShingle |
Brian Grunau Katie Dainty Ruth MacRedmond Ken McDonald Ayumi Sasaki Aimee J. Sarti Sam D. Shemie Anson Cheung John Gill A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest Resuscitation Plus Extracorporeal membrane oxygenation Extracorporeal cardiopulmonary resuscitation Heart arrest Out-of-hospital cardiac arrest Cardiopulmonary resuscitation |
| author_facet |
Brian Grunau Katie Dainty Ruth MacRedmond Ken McDonald Ayumi Sasaki Aimee J. Sarti Sam D. Shemie Anson Cheung John Gill |
| author_sort |
Brian Grunau |
| title |
A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest |
| title_short |
A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest |
| title_full |
A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest |
| title_fullStr |
A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest |
| title_full_unstemmed |
A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest |
| title_sort |
qualitative exploratory case series of patient and family experiences with ecpr for out-of-hospital cardiac arrest |
| publisher |
Elsevier |
| series |
Resuscitation Plus |
| issn |
2666-5204 |
| publishDate |
2021-06-01 |
| description |
Objective: There is currently no existing data examining the opinions of patients and families after treatment with extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA). We sought to interview family members and patients to learn from their experiences and satisfaction with treatment. Methods: We contacted family members and survivors for all cases treated with ECPR for refractory OHCA at St. Paul’s Hospital between January 2014 and July 2018. We performed semi-structured interviews with participants, specifically within the topics of: information sharing (including impressions of an ECPR informational pamphlet), prognostication, organ donation, and perceived value of ECPR. Due to low participant enrolment, we described all interviews in a narrative approach. Results: Within the study period, there were 23 OHCAs treated with ECPR; two survivors and three family members agreed to participate. Participants were satisfied with the treatment provided, including information sharing and prognostication. There were mixed opinions about the best method of information-sharing (verbal vs written), as well as the timing of organ donation conversations. All participants believed ECPR for OHCA to be of high value. Conclusion: Patient’s conveyed satisfaction with ECPR treatment, with mixed views on the best information sharing strategy. Further study is needed to define the optimal methods and timing for discussions of organ donation, especially for treatments of with a relatively low likelihood success. |
| topic |
Extracorporeal membrane oxygenation Extracorporeal cardiopulmonary resuscitation Heart arrest Out-of-hospital cardiac arrest Cardiopulmonary resuscitation |
| url |
http://www.sciencedirect.com/science/article/pii/S2666520421000540 |
| work_keys_str_mv |
AT briangrunau aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT katiedainty aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT ruthmacredmond aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT kenmcdonald aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT ayumisasaki aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT aimeejsarti aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT samdshemie aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT ansoncheung aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT johngill aqualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT briangrunau qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT katiedainty qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT ruthmacredmond qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT kenmcdonald qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT ayumisasaki qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT aimeejsarti qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT samdshemie qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT ansoncheung qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest AT johngill qualitativeexploratorycaseseriesofpatientandfamilyexperienceswithecprforoutofhospitalcardiacarrest |
| _version_ |
1721411176055701504 |