Comparison of the outcome of patients undergoing ECMO for not-trauma cardiopulmonary failure: a retrospective study

Background: In the Department of Emergency (ED), Extracorporeal Membrane Oxygenation (ECMO) can be used as a rescue treatment modality for patients in cardiocirculatory arrest not-trauma associated. The aim of the present study was to investigate the outcome of patients who received veno-arterial (VA) ECMO support. Methods: This single-center retrospective study included 233 patients who received ECMO support at the ED for acute circulatory failure after not-trauma injury between January 2016 and March 2021. Patients came from Unit Cardiac Intensive therapy (UTIC), Unit Cardiac-Surgery Intensive Therapy (TICCH), and out of hospital (OH). Glasgow Outcome Scale (GOS) was adapted to 3 and 12months.
Results: Thirty-seven percent of patients who received ECMO-VA cardiopulmonary resuscitation was donative (45 patients went to explant), of this the 92 percent from OH forty-nine percent died, 10 percent patients survivor (of this 52,2% from TICCH, 26% from UTIC with GOS 1, 21,8% from OH with GOS 4).
Conclusion: in this study, patients who come from TICCH and UTIC has a more probability of high GOS while significantly value patient who comes from OH go to or organ preservation.

Author(s): Andrea Pecchioni

Abstract | Full-Text | PDF

Share This Article