HOPE or hopeless? Unexpected neurological recovery after ECPR rewarming in a patient with severely hypothermic cardiac arrest with multiple haemorrhagic complications: a case report
This case demonstrates that favourable neurological recovery is achievable in elderly adults with hypothermic cardiac arrest, even when complicated by severe haemorrhagic events. The HOPE score is a validated tool for estimating survival probabilities in such cases and may support clinical decision-making regarding extracorporeal life support rewarming.
Authors
- Tetsuro Kiyozumi (ORCID: https://orcid.org/0000-0002-4098-1961)
- Yuya Yoshimura (ORCID: https://orcid.org/0000-0002-6156-6417)
- Tatsunori Nagamura (ORCID: https://orcid.org/0000-0001-9796-8306)
- Sho Terashige
Institutions
- National Defense Medical College Hospital (JP)
- Aomori Rosai Hospital (JP)
- National Defense Medical College (JP)
Publication Details
- Journal
- Scandinavian Journal of Trauma Resuscitation and Emergency Medicine
- Published
- 2025-11-20
- DOI
- https://doi.org/10.1186/s13049-025-01497-x
- Citations
- 2
- Primary Topic
- Mechanical Circulatory Support Devices
- Type
- article
- Field-Weighted Citation Impact
- 1.35