Outcomes of patients with COVID-19 supported by venovenous extracorporeal membrane oxygenation for greater than 90 days

Stern, David R.; Michalak, Lauren A.; Beckett, Allison R.; Tabachnick, Deborah R.; Tatooles, Antone J.

doi:10.1016/j.xjon.2023.09.044

JTCVS Open

2023

DOI: 10.1016/j.xjon.2023.09.044

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Outcomes of patients with COVID-19 supported by venovenous extracorporeal membrane oxygenation for greater than 90 days

David R. Stern,

Lauren A. Michalak,

Allison R. Beckett

et al.

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2024

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Cited by 1 publication

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Outcomes and Prognosis of COVID-19-Induced Adult Respiratory Distress Syndrome Patients Treated with Prolonged Veno-Venous Extracorporeal Membrane Oxygenation: A Retrospective Multicenter Study

Bitan,

Sagie,

Ilgiyaev

et al. 2024

JCM

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Background: Predicting whether extracorporeal membrane oxygenation (ECMO) treatment duration affects prognosis is important both medically and economically. Methods: We conducted a retrospective, multicenter study to better understand the outcomes of patients treated with veno-venous (VV) ECMO over a prolonged duration, analyzing data from the Israel ECMO registry. The study included all adult patients treated with VV-ECMO due to COVID-19-induced respiratory failure. The primary outcomes were survival rates up to 180 days from cannulation. Results: One hundred and eighty-eight patients were included in the study. The median age was 50 years (IQR 42, 50), and 69% were male. Patients were mechanically ventilated for a median of 2.5 days before cannulation (IQR 0.5, 5). The mean ECMO support duration was 29.9 days, with a maximal duration of 189.9 days. The survival rate for 180 days was 56%. We found no change in survival for patients on ECMO for 14, 28, or 56 days. Every day of mechanical ventilation before cannulation correlated with an 11% greater risk for prolonged ECMO treatment (p = 0.01). Conclusions: COVID-19-induced ARDS patients treated with VV-ECMO for prolonged duration had the same prognosis as those treated for short periods of time. The longer the duration of mechanical ventilation before ECMO cannulation, the higher the risk for prolonged ECMO treatment.

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Outcomes and Prognosis of COVID-19-Induced Adult Respiratory Distress Syndrome Patients Treated with Prolonged Veno-Venous Extracorporeal Membrane Oxygenation: A Retrospective Multicenter Study

Bitan,

Sagie,

Ilgiyaev

et al. 2024

JCM

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Outcomes of patients with COVID-19 supported by venovenous extracorporeal membrane oxygenation for greater than 90 days

Cited by 1 publication

References 21 publications

Outcomes and Prognosis of COVID-19-Induced Adult Respiratory Distress Syndrome Patients Treated with Prolonged Veno-Venous Extracorporeal Membrane Oxygenation: A Retrospective Multicenter Study

Outcomes and Prognosis of COVID-19-Induced Adult Respiratory Distress Syndrome Patients Treated with Prolonged Veno-Venous Extracorporeal Membrane Oxygenation: A Retrospective Multicenter Study

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