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Prevalence, reasons, timing of decisions to withhold/withdraw life‑sustaining therapy for out‑of‑hospital cardiac arrest pts on #ECPR, secondary analysis of SAVE-J II multicenter Japan study:
WLST occurred in about ⅓ of #OHCA patients on #ECMO in this nationwide cohort
main reason for WLST: perceived unfavorable neurological prognosis
decision for WLST made early, at a median of 2 days after ICU admission: a time when neuro-prognostication is not recommended
https://rdcu.be/dfL8g