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Outcomes of Patients Undergoing Interfacility Extracorporeal Membrane Oxygenation Transfer Based on Cannulation Location and Mode of Transport.
Wothe, Jillian K; Bergman, Zachary R; Kalland, Krystina R; Peter, Logan G; Lusczek, Elizabeth R; Brunsvold, Melissa E.
Afiliación
  • Wothe JK; University of Minnesota, Medical School, Minneapolis, MN.
  • Bergman ZR; Department of Surgery, University of Minnesota, Minneapolis, MN.
  • Kalland KR; University of Minnesota, Medical School, Minneapolis, MN.
  • Peter LG; University of Minnesota, Medical School, Minneapolis, MN.
  • Lusczek ER; Department of Surgery, University of Minnesota, Minneapolis, MN.
  • Brunsvold ME; Department of Surgery, University of Minnesota, Minneapolis, MN.
Crit Care Explor ; 4(4): e0664, 2022 Apr.
Article en En | MEDLINE | ID: mdl-35372849
ABSTRACT
As the use of extracorporeal membrane oxygenation (ECMO) expands, so has the need for interfacility transfer to ECMO centers. However, the impact of these transfers has not been fully studied. This study evaluates complications and inhospital mortality in adult patients treated with venovenous (V-V) ECMO based on institutional location of cannulation and mode of transport.

DESIGN:

Retrospective cohort study.

SETTING:

Large midwestern ECMO center. PATIENTS Adult patients receiving VV-ECMO.

INTERVENTIONS:

Need for transfer to ECMO center following VV-ECMO cannulation. MEASUREMENTS AND MAIN

RESULTS:

The study included 102 adult patients, 57% of which were cannulated at an outside institution prior to transfer. Of these, 60% were transported by ground, and the remainder were transported by air. Risk-adjusted logistic regression did not reveal any significant increase in odds for any complication or inhospital mortality between the groups based on location of cannulation or mode of transport.

CONCLUSIONS:

This study supports the practice of interfacility ECMO transfer with no difference in outcomes or inhospital mortality based on institutional location of cannulation or mode of transport.
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Texto completo: 1 Bases de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Crit Care Explor Año: 2022 Tipo del documento: Article País de afiliación: Mongolia

Texto completo: 1 Bases de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En Revista: Crit Care Explor Año: 2022 Tipo del documento: Article País de afiliación: Mongolia