The effects of the introduction of an adult ECMO program on statewide referral patterns, casemix and outcomes in patients with acute respiratory distress syndrome or pneumonia
Autor: | Chris Joyce, David Pilcher, Annette J. Dobson, John F. Fraser, Kiran Shekar, Marc Ziegenfuss, Dan Mullany |
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Rok vydání: | 2017 |
Předmět: |
Adult
Male medicine.medical_specialty ARDS Adolescent Critical Care Referral medicine.medical_treatment Population 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine Young Adult 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine Intensive care Anesthesiology Odds Ratio medicine Extracorporeal membrane oxygenation Humans 030212 general & internal medicine Program Development Intensive care medicine education Referral and Consultation Diagnosis-Related Groups Aged Retrospective Studies Respiratory Distress Syndrome education.field_of_study business.industry Pneumonia Length of Stay Middle Aged medicine.disease surgical procedures operative Respiratory failure Female Queensland business |
Zdroj: | Intensive Care Medicine. 43:1065-1066 |
ISSN: | 1432-1238 0342-4642 |
Popis: | Dear Editor, extracorporeal membrane oxygenation (ECMO) use in adults is increasing and indications are expanding. The effects of introduction of an adult ECMO service on casemix, referral patterns and outcomes of patients with acute respiratory distress syndrome (ARDS) or pneumonia at a population level have not been well studied. Two hospitals commenced adult ECMO services in the Australian state of Queensland (area of 1,727,000 km2; population 4,729,000) in 2009 after the publication of the CESAR trial in preparation for the H1N1 influenza pandemic. ECMO was implemented as part of a statewide strategy for advanced support of respiratory failure by the intensive care clinical network. Prior to this there was no adult ECMO service. |
Databáze: | OpenAIRE |
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