Prognostic Factors for Adult Patients Receiving Extracorporeal Membrane Oxygenation as Mechanical Circulatory Support—A 14‐Year Experience at a Medical Center
- 16 February 2010
- journal article
- Published by Wiley in Artificial Organs
- Vol. 34 (2), E59-E64
- https://doi.org/10.1111/j.1525-1594.2009.00909.x
Abstract
Extracorporeal membrane oxygenation (ECMO) is a resource-consuming and highly invasive treatment. There were 1100 ECMO cases at the National Taiwan University Hospital between August 1994 and November 2008. Of these, 607 were adults (>18 years old) who received ECMO as mechanical circulatory support. In this study, patient characteristics and complications during the ECMO course were evaluated for their correlation with prognosis. The following factors were significantly different between survivors and nonsurvivors: age, coronary artery disease, diabetes mellitus, brain death, stroke during ECMO, the need for dialysis during ECMO, pre-ECMO infection, hypoglycemia, acidosis, alkalosis, the need for a distal perfusion catheter, and the amount of red blood cells transfused. Six independent predictors of mortality were identified: age, stroke, the need for dialysis during ECMO, pre-ECMO infection, hypoglycemia, and alkalosis. Our institution has comparatively extensive experience with adult patients, which may be quite different from other medical centers with respect to distribution of patient age. The findings should lead to better utilization of ECMO for adult patients in the future.Keywords
This publication has 21 references indexed in Scilit:
- Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysisThe Lancet, 2008
- Outcomes and long-term quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock*Critical Care Medicine, 2008
- Venoarterial extracorporeal membrane oxygenation for treatment of cardiogenic shock: Clinical experiences in 45 adult patientsThe Journal of Thoracic and Cardiovascular Surgery, 2008
- Review of ECMO (Extra Corporeal Membrane Oxygenation) Support in Critically Ill Adult PatientsNew Zealand Medical Journal, 2008
- Devices in acute heart failureCritical Care Medicine, 2008
- Is Extracorporeal Life Support Contraindicated in Elderly Patients?The Annals of Thoracic Surgery, 2007
- Analysis of the outcome for patients experiencing myocardial infarction and cardiopulmonary resuscitation refractory to conventional therapies necessitating extracorporeal life support rescue*Critical Care Medicine, 2006
- Late Vascular Complications After Extracorporeal Membrane Oxygenation SupportThe Annals of Thoracic Surgery, 2006
- Extracorporeal membrane oxygenation support for adult postcardiotomy cardiogenic shockThe Annals of Thoracic Surgery, 2002
- Clinical experience with 202 adults receiving extracorporeal membrane oxygenation for cardiac failure: Survival at five yearsThe Journal of Thoracic and Cardiovascular Surgery, 2001