Similarities in extracorporeal membrane oxygenation management across intensive care unit types in the United States: An analysis of the Extracorporeal Life Support Organization Registry
Autor: | Clark G. Owyang, Claire Donnat, Daniel Brodie, Hayley B. Gershengorn, May Hua, Nida Qadir, Joseph E. Tonna |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
cardiac intensive care unit
Critical care delivery Clinical Sciences multidisciplinary critical care Biomedical Engineering Medicine (miscellaneous) cardiothoracic intensive care unit Bioengineering General Medicine Cardiovascular Article Cardiopulmonary Resuscitation United States Biomaterials Intensive Care Units Heart Disease Good Health and Well Being Extracorporeal Membrane Oxygenation epidemiology Registries ECMO cardiac critical care healthcare delivery Retrospective Studies |
Zdroj: | Artif Organs Artificial organs, vol 46, iss 7 |
Popis: | BackgroundExtracorporeal membrane oxygenation (ECMO) use in the United States occurs often in cardiothoracic ICUs (CTICU). It is unknown how it varies across ICU types.MethodsWe identified 10 893 ECMO runs from the Extracorporeal Life Support Organization (ELSO) Registry across 2018 and 2019. Primary outcome was ECMO case volume by ICU type (CTICU vs. non-CTICU). Adjusting for pre-ECMO characteristics and case mix, secondary outcomes were on-ECMO physiologic variables by ICU location stratified by support type.ResultsCTICU ECMO occurred in 65.1% and 55.1% (2018 and 2019) of total runs. A minority of total runs related to cardiac surgery procedures (CTICU: 21.7% [2018], 18% [2019]; non-CTICU: 11.2% [2018], 13% [2019]). After multivariate adjustment, non-CTICU ECMO for cardiac support associated with lower 4- and 24-h circuit flow (3.9 liters per minute [LPM] vs. 4.1 LPM, p  |
Databáze: | OpenAIRE |
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