23, 19, 28
The base rates that should open every family conversation. In this population the open question is whether the patient survives, not what state they survive in - the severely disabled survivor is the rarest of the three destinations.
Pooled neurological complication and outcome rates
[VERIFICATION REQUIRED] - DOI/PMID not confirmed
Extracorporeal membrane oxygenation
Heterogeneous studies with unsystematic neurological assessment; the complication rates are floors set by how hard each centre looked. Structured abstract only. [VERIFICATION REQUIRED]
In the ECPR subgroup: at least one neurological complication 27% (17-39%), hypoxic-ischaemic brain injury 23% (14-32%), ischaemic stroke 6%, seizures 6%, intracerebral haemorrhage 4%, brain death 17% (12-23%). Survival 29% (26-33%) and good neurological outcome 24% (21-28%) - so roughly five in six survivors had a good outcome.
78 studies, 50,049 patients, of whom 6,261 (12.5%) received ECPR