PMID- 36676106
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230308
IS  - 2075-1729 (Print)
IS  - 2075-1729 (Electronic)
IS  - 2075-1729 (Linking)
VI  - 13
IP  - 1
DP  - 2023 Jan 5
TI  - ECMO Retrieval Program: What Have We Learned So Far.
LID - 10.3390/life13010157 [doi]
LID - 157
AB  - Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is increasingly used 
      for patients with cardiogenic shock or cardiac arrest. However, survival rates 
      remain low. It is unclear to what extent ECMO patients benefit from the ECMO team 
      learning curve. Therefore, we aimed to analyze our mobile ECMO program patients 
      from the past seven years to evaluate if a learning curve benefits patients' 
      outcomes. We analyzed 111 patients from our databank who were supported with a 
      VA-ECMO and brought to our hospital from January 2015 to December 2021. Patients 
      were divided into two groups: survival (n = 70) and non-survival (n = 41). As 
      expected, complications after ECMO implantation were more severe in the 
      non-survivor group. The incidence of thromboembolic events (p = 0.002), hepatic 
      failure (p < 0.001), renal failure (p = 0.002), dialysis (p = 0.002) and systemic 
      inflammatory response syndrome (SIRS, p = 0.044) occurred significantly more 
      often compared with the survivor group. We were able to show that despite our 
      extensive experience in terms of ECMO retrieval program the high mortality and 
      morbidity rates stay fairly the same over the years. This displays that we have 
      to focus even more on patient selection and ECMO indication.
FAU - Krasivskyi, Ihor
AU  - Krasivskyi I
AUID- ORCID: 0000-0003-0573-8218
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Grossmann, Clara
AU  - Grossmann C
AUID- ORCID: 0000-0001-8747-496X
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Dechow, Marit
AU  - Dechow M
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Djordjevic, Ilija
AU  - Djordjevic I
AUID- ORCID: 0000-0002-5810-8626
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Ivanov, Borko
AU  - Ivanov B
AD  - Department of Cardiothoracic Surgery, Helios Hospital Siegburg, Heart Centre, 
      53721 Siegburg, Germany.
FAU - Gerfer, Stephen
AU  - Gerfer S
AUID- ORCID: 0000-0002-6568-6766
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Bennour, Walid
AU  - Bennour W
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Kuhn, Elmar
AU  - Kuhn E
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Sabashnikov, Anton
AU  - Sabashnikov A
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Mader, Navid
AU  - Mader N
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Eghbalzadeh, Kaveh
AU  - Eghbalzadeh K
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
FAU - Wahlers, Thorsten
AU  - Wahlers T
AUID- ORCID: 0000-0002-8437-4119
AD  - Department of Cardiothoracic Surgery, University Hospital Cologne, 50937 Cologne, 
      Germany.
LA  - eng
PT  - Journal Article
DEP - 20230105
PL  - Switzerland
TA  - Life (Basel)
JT  - Life (Basel, Switzerland)
JID - 101580444
PMC - PMC9865097
OTO - NOTNLM
OT  - ECMO
OT  - cardiogenic shock
OT  - mortality
COIS- The authors declare no conflict of interest.
EDAT- 2023/01/22 06:00
MHDA- 2023/01/22 06:01
PMCR- 2023/01/05
CRDT- 2023/01/21 01:34
PHST- 2022/11/30 00:00 [received]
PHST- 2022/12/29 00:00 [revised]
PHST- 2023/01/03 00:00 [accepted]
PHST- 2023/01/21 01:34 [entrez]
PHST- 2023/01/22 06:00 [pubmed]
PHST- 2023/01/22 06:01 [medline]
PHST- 2023/01/05 00:00 [pmc-release]
AID - life13010157 [pii]
AID - life-13-00157 [pii]
AID - 10.3390/life13010157 [doi]
PST - epublish
SO  - Life (Basel). 2023 Jan 5;13(1):157. doi: 10.3390/life13010157.