The effect of multidisciplinary extracorporeal membrane oxygenation team on clinical outcomes in patients with severe acute respiratory failure

Annals of Intensive Care
Soo Jin NaKyeongman Jeon

Abstract

The Extracorporeal Life Support Organization (ELSO) has suggested that extracorporeal membrane oxygenation (ECMO) patients should be managed by a multidisciplinary team. However, there are limited data on the impact of ECMO team on the outcomes of patients with severe acute respiratory failure. All consecutive patients with severe acute respiratory failure who underwent ECMO for respiratory support from January 2012 through December 2016 were divided into the pre-ECMO team period (before January 2014, n = 70) and the post-ECMO team period (after January 2014, n = 46). Clinical characteristics and outcomes were compared between the two groups. The mortality rates in the intensive care unit (72.9 vs. 50.0%, P = 0.012) and hospital (75.7 vs. 52.2%, P = 0.009) were significantly decreased in the post-ECMO team period compared to the pre-ECMO team period. The median duration of ECMO support was not different between the two periods. However, the proportion of patients successfully weaned off ECMO was higher in the post-ECMO team period (42.9 vs. 65.2%, P = 0.018). During ECMO support, the incidence of cannula problems (32.9 vs. 15.2%, P = 0.034) and cardiovascular events (88.6 vs. 65.2%, P = 0.002) was reduced after implementation o...Continue Reading

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Citations

Aug 14, 2019·JAMA : the Journal of the American Medical Association·Daniel BrodieAlain Combes
Feb 25, 2020·Expert Review of Respiratory Medicine·Soo Jin Na, Kyeongman Jeon
Jun 17, 2020·Journal of Cardiac Surgery·Harrison LangHelenMari Merritt-Genore
Jun 17, 2020·Journal of Cardiac Surgery·Khubbaib HasanAmer Harky
Feb 26, 2019·Therapeutic Advances in Respiratory Disease·Chul ParkKyeongman Jeon
Apr 3, 2020·Revista brasileira de enfermagem·Gislaine Rodrigues NakasatoCamila Takao Lopes
Nov 19, 2019·Therapeutic Advances in Respiratory Disease·Soo Jin NaKyeongman Jeon
Oct 8, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Roberto LorussoDavid A D'Alessandro
Oct 7, 2020·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Roberto LorussoDavid A D'Alessandro
Feb 3, 2021·International Journal of Environmental Research and Public Health·Zbigniew PutowskiŁukasz J Krzych
Oct 12, 2020·The Journal of Thoracic and Cardiovascular Surgery·Roberto LorussoDavid A D'Alessandro

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