A giant omphalocele neonate supported by extra‐corporeal membrane oxygenation

2021 ◽  
Author(s):  
Tomohide Yoshida ◽  
Sino Uchihara ◽  
Hideki Goya ◽  
Mayumi Arakaki ◽  
Masaaki Kuda
Keyword(s):  
Extra Corporeal Membrane Oxygenation ◽  
Membrane Oxygenation ◽  
Giant Omphalocele

ECMO (Extra Corporeal Membrane Oxygenation) in major trauma: A 10 year single centre experience

Injury ◽  
2021 ◽  
Author(s):  
Timothy Amos ◽  
Holly Bannon-Murphy ◽  
Meei Yeung ◽  
Julian Gooi ◽  
Silvana Marasco ◽  
...  
Keyword(s):  
Major Trauma ◽  
Extra Corporeal Membrane Oxygenation ◽  
Single Centre ◽  
Membrane Oxygenation ◽  
Single Centre Experience

Abstract P131: Is Older Age (≥ 65 years old) Associated with Increased Mortality Following Extra-Corporeal Membrane Oxygenation?

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
David L Narotsky ◽  
Matthew Mosca ◽  
Ming Liao ◽  
Linda Mongero ◽  
James Beck ◽  
...  
Keyword(s):  
Cohort Analysis ◽  
Academic Medical Center ◽  
Bypass Graft ◽  
Older Age ◽  
Extra Corporeal Membrane Oxygenation ◽  
Comorbid Conditions ◽  
Membrane Oxygenation ◽  
Increased Risk ◽  
Social Security Death Index ◽  
Race Ethnicity

Background: Extra-corporeal membrane oxygenation (ECMO) is increasingly being used as a life-saving bypass technique for patients whose acute cardiopulmonary failure is potentially reversible and refractory to conventional care. Prognostic data for ECMO among diverse patients are limited. The purpose of this study was to evaluate the association between age (≥ 65 vs. <65 years) and 1-year mortality after ECMO, adjusted for confounders. Methods: This was a retrospective cohort analysis of 131 consecutive adult patients (28% ≥65 years old, 26% racial/ethnic minority, 38% female) enrolled in an ECMO database who received veno-arterial ECMO at an academic medical center between 2004-2013. Demographics, comorbid conditions, admission characteristics, and mortality status at 1 year were obtained from the hospital clinical information system, updated monthly with Social Security Death Index data. Univariate and multivariate adjusted Cox proportional hazard analyses were conducted to evaluate the associations between age strata and post-ECMO mortality. Results: The 1-year mortality rate post-ECMO was 56% (n=73). Age ≥ 65 vs. <65 was significantly associated with increased mortality (HR=1.8; 95% CI=1.1-2.9); the association was attenuated and did not retain statistical significance after adjustment for comorbid conditions (HR=1.4; 95% CI=0.8-2.5). Figure 1 illustrates mortality risk by age strata adjusted for: a) demographics (race/ethnicity and sex) and b) demographics and comorbid conditions. Race/ethnicity and sex were not significantly associated with 1-year mortality. Significant predictors of mortality included: Medicaid vs. other health insurance status, history of coronary artery bypass graft surgery, peripheral vascular disease, renal failure, dialysis, and shock (p<0.05). Conclusion: Older age (≥65) was not independently associated with 1-year mortality among ECMO patients, but may indicate higher comorbidity, which was associated with increased risk of mortality in the year following ECMO.

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