Factors predicting early- and long-term survival in patients undergoing extracorporeal membrane oxygenation (ECMO)

Journal of Cardiac Surgery
Seung Hyun LeeSuk Jung Choo

Abstract

Extracorporeal membrane oxygenation (ECMO) is an established treatment option in patients with cardiogenic shock and respiratory dysfunction. We assessed outcomes of ECMO, as well as predictors of ECMO weaning and survival, in patients treated in our institution over the past five years. We reviewed the records of 185 patients who received ECMO support for various medical conditions between January 2005 and January 2010. Risk factors for successful weaning, early mortality, and overall survival were investigated. There were 101 males and 84 females, and the mean age was 56.1 ± 14.7 years. Patients received either venoarterial (n = 137) or veno-veno (n = 48) ECMO. ECMO was instituted in stable patients (n = 40, 21.6%), those in shock (n = 105, 56.8%), or those in cardiac arrest (n = 40, 21.6%). Mean ECMO support lasted 4.7 days and weaning was successful in 68 patients (36.7%), with 38 (20.5%) eventually being discharged from the hospital. Univariate analysis showed hemodynamic status at insertion (p = 0.05) including intra-aortic balloon pump usage to significantly influence successful weaning, whereas the duration of ECMO was strongly associated with overall survival (p = 0.05). Early ECMO application before catastrophic clini...Continue Reading

References

Nov 16, 1979·JAMA : the Journal of the American Medical Association·W M ZapolR G Miller
Sep 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·D D MuehrckeD M Cosgrove
Feb 1, 1996·The Annals of Thoracic Surgery·D D MuehrckeD M Cosgrove
May 1, 1998·The Annals of Thoracic Surgery·K M Taylor
Oct 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·M I CohenL A Rhodes
Jun 22, 2000·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y HayashiH Matsuda
Oct 29, 2000·Seminars in Thoracic and Cardiovascular Surgery·D J Goldstein, M C Oz
Jul 4, 2001·The Journal of Thoracic and Cardiovascular Surgery·N G SmediraD M Cosgrove
Feb 16, 2002·The Annals of Thoracic Surgery·Wen-Je KoYih-Sharng Chen
Jul 26, 2002·Perfusion·Mark Kurusz, Joseph B Zwischenberger
Jan 22, 2003·Journal of the American College of Cardiology·Yih-Sharng ChenShoei-Shan Wang
Feb 5, 2008·The Journal of Thoracic and Cardiovascular Surgery·Farhad BakhtiaryAnton Moritz
Oct 31, 2008·Heart, Lung & Circulation·Silvana F MarascoBenno Ihle
Apr 10, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bahaaldin AlsoufiGlen S Van Arsdell

❮ Previous
Next ❯

Citations

May 24, 2013·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·D W de LangeJ Meulenbelt
Jun 27, 2015·Journal of Critical Care·Aidan J C BurrellDavid V Pilcher
May 26, 2012·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Michael S Firstenberg, David A Orsinelli
Sep 10, 2014·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Bożena SeczyńskaWojciech Szczeklik
Nov 8, 2016·The Journal of Thoracic and Cardiovascular Surgery·Rakesh C AroraRohit K Singal
Jan 13, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Viktor von BahrHåkan Kalzén
Apr 15, 2017·Critical Care Medicine·Saraschandra VallabhajosyulaGregory J Schears
Oct 17, 2018·Current Opinion in Critical Care·Marlies OstermannKianoush Kashani
Dec 25, 2012·Current Opinion in Anaesthesiology·Ignacio Malagon, Donna Greenhalgh
Mar 14, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Mingjie HuangKenny Yoong Kong Sin
Oct 26, 2018·Circulation. Heart Failure·Prashant RaoRobb D Kociol
Apr 16, 2020·American Journal of Physiology. Lung Cellular and Molecular Physiology·Kaspar F BachmannDavid Christian Berger
Jul 10, 2019·Journal of Clinical Medicine·Charat ThongprayoonKianoush Kashani
Aug 5, 2017·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Franziska KaestnerPhilipp M Lepper
Dec 17, 2020·Journal of Biochemical and Molecular Toxicology·Ming GuYa-Nan Zhao
Jul 13, 2021·Circulation. Heart Failure·Darshan H BrahmbhattFilio Billia

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiogenic Shock

Cardiogenic shock is a devastating consequence of acute myocardial infarction and is associated with an extremely high mortality. Here is the latest research.