Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2010-4-27
pubmed:abstractText
Extracorporeal membrane oxygenation (ECMO) is a resource-consuming and highly invasive treatment. There were 1100 ECMO cases at the National Taiwan University Hospital between August 1994 and November 2008. Of these, 607 were adults (>18 years old) who received ECMO as mechanical circulatory support. In this study, patient characteristics and complications during the ECMO course were evaluated for their correlation with prognosis. The following factors were significantly different between survivors and nonsurvivors: age, coronary artery disease, diabetes mellitus, brain death, stroke during ECMO, the need for dialysis during ECMO, pre-ECMO infection, hypoglycemia, acidosis, alkalosis, the need for a distal perfusion catheter, and the amount of red blood cells transfused. Six independent predictors of mortality were identified: age, stroke, the need for dialysis during ECMO, pre-ECMO infection, hypoglycemia, and alkalosis. Our institution has comparatively extensive experience with adult patients, which may be quite different from other medical centers with respect to distribution of patient age. The findings should lead to better utilization of ECMO for adult patients in the future.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1525-1594
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
E59-64
pubmed:meshHeading
pubmed-meshheading:20420591-Adolescent, pubmed-meshheading:20420591-Adult, pubmed-meshheading:20420591-Age Factors, pubmed-meshheading:20420591-Aged, pubmed-meshheading:20420591-Aged, 80 and over, pubmed-meshheading:20420591-Cause of Death, pubmed-meshheading:20420591-Chi-Square Distribution, pubmed-meshheading:20420591-Extracorporeal Membrane Oxygenation, pubmed-meshheading:20420591-Female, pubmed-meshheading:20420591-Heart Failure, pubmed-meshheading:20420591-Humans, pubmed-meshheading:20420591-Male, pubmed-meshheading:20420591-Middle Aged, pubmed-meshheading:20420591-Patient Selection, pubmed-meshheading:20420591-Prognosis, pubmed-meshheading:20420591-Regression Analysis, pubmed-meshheading:20420591-Respiratory Insufficiency, pubmed-meshheading:20420591-Retrospective Studies, pubmed-meshheading:20420591-Risk Factors, pubmed-meshheading:20420591-Treatment Outcome
pubmed:year
2010
pubmed:articleTitle
Prognostic factors for adult patients receiving extracorporeal membrane oxygenation as mechanical circulatory support--a 14-year experience at a medical center.
pubmed:affiliation
Division of Critical Care, Changhua Christian Hospital, Taipei, Taiwan.
pubmed:publicationType
Journal Article