Original articleAdult cardiacA Single-Center Experience of 900 Interhospital Transports on Extracorporeal Membrane Oxygenation
Section snippets
Ethical Considerations
Because we conducted a retrospective quality control study, and no patients were contacted for follow-up questioning, ethical approval was waived. Clinical data were stored in the patient’s hospital charts, which are biometrically protected and stored in hospital servers. The extracted data were analyzed anonymously, with results presented on a group level, making it impossible to identify individual patients.
Patients
All ECMO transports performed by the ECMO transport service at the Karolinska
Demographics, Transport Patterns, and Outcome
During the study period, 908 interhospital ECMO transports were conducted. The number of transports performed annually increased until 2010 and has since then remained generally unchanged (Fig 1). The adult cohort accounted for 52% (n = 474) of transports, whereas the pediatric and neonatal cohorts constituted 17% (n = 150) and 31% (n = 284), respectively. 55% (n = 493) of patients were transported with VA ECMO, which was more common in the pediatric (58%, n = 86) and neonatal cohorts (66%, n =
Comment
This is the largest cohort study of interhospital ECMO transports ever performed and provides findings that are important for patient management and future study design.
References (24)
- et al.
Trends in U.S. Extracorporeal Membrane Oxygenation use and outcomes: 2002-2012
Semin Thorac Cardiovasc Surg
(2015) - et al.
Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial
Lancet
(2009) - et al.
Increased extracorporeal membrane oxygenation center case volume is associated with improved extracorporeal membrane oxygenation survival among pediatric patients
J Thorac Cardiovasc Surg
(2013) ECMO: the next ten years
Egypt J Crit Care Med
(2016)- et al.
Two decades’ experience with interfacility transport on extracorporeal membrane oxygenation
Ann Thorac Surg
(2014) - et al.
One hundred transports on extracorporeal support to an extracorporeal membrane oxygenation center
Ann Thorac Surg
(2015) - et al.
Increased trend in extracorporeal membrane oxygenation use by adults in the United States since 2007
BMC Res Notes
(2015) - et al.
Extracorporeal Life Support Organization (ELSO) Guidelines for ECMO transport
- et al.
Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients
Am J Respir Crit Care Med
(2014) - et al.
Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality. Analysis of the extracorporeal life support organization registry
Am J Respir Crit Care Med
(2015)
Pediatric and neonatal extracorporeal membrane oxygenation: does center volume impact mortality?
Crit Care Med
A review of 100 patients transported on extracorporeal life support
ASAIO J
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