Journal of cardiothoracic and vascular anesthesia · 2017
Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure?
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Gutsche Jacob T, Miano Todd A, Vernick William, Raiten Jesse, Bermudez Christian, Vallabjoysula Prashant, Milewski Karianna, Szeto Wilson, Fall Meghan Lane, Williams Matthew L, Patel Prakash, Mikkelsen Mark E, Chiu Cornel, Ramakrishna Harish, Canon Jeremy, Augoustides John G
Аннотация
OBJECTIVE: To understand if mobile extracorporeal membrane oxygenation reduces patient mortality during and after transport of patients requiring extracorporeal membrane oxygenation for acute respiratory distress syndrome.
DESIGN: Retrospective chart review.
SETTING: University affiliated tertiary care hospitals.
PARTICIPANTS: Seventy-seven patients.
INTERVENTIONS: Introduction of a mobile extracorporeal membrane oxygenation (ECMO) program designed to facilitate the implementation of ECMO at outside hospitals in patients too unstable for transport for ECMO.
MEASUREMENTS AND MAIN RESULTS: The 28-day in-hospital mortality was significantly lower in the post-mobile group (12/51 [23.5%] v 12/24 [50%], adjusted risk difference: 28.6%, [95% CI 4.7-52.5, p = 0.011]).
CONCLUSIONS: These findings suggest that patients with severe acute respiratory failure who require transport to a referral center for extracorporeal life support may benefit from the availability of a mobile extracorporeal life support team.
DESIGN: Retrospective chart review.
SETTING: University affiliated tertiary care hospitals.
PARTICIPANTS: Seventy-seven patients.
INTERVENTIONS: Introduction of a mobile extracorporeal membrane oxygenation (ECMO) program designed to facilitate the implementation of ECMO at outside hospitals in patients too unstable for transport for ECMO.
MEASUREMENTS AND MAIN RESULTS: The 28-day in-hospital mortality was significantly lower in the post-mobile group (12/51 [23.5%] v 12/24 [50%], adjusted risk difference: 28.6%, [95% CI 4.7-52.5, p = 0.011]).
CONCLUSIONS: These findings suggest that patients with severe acute respiratory failure who require transport to a referral center for extracorporeal life support may benefit from the availability of a mobile extracorporeal life support team.