ArticleIntensive care medicine2013
Lack of association between body weight and mortality in patients on veno-venous extracorporeal membrane oxygenation.
Article in Intensive care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- ECMO for patients with obesity: evidence and practice.Intensive care medicine · 2026Review
- The relationship between body mass index and mortality is not linear in patients requiring venovenous extracorporeal support.The Journal of thoracic and cardiovascular surgery · 2024Article
- Veno-venous extracorporeal membrane oxygenation in severe acute respiratory failure.BJA education · 2024Review
- Obesity and Extracorporeal Membrane Oxygenation.Respiratory care · 2024Review
- Cannulate, extubate, ambulate approach for extracorporeal membrane oxygenation for COVID-19.The Journal of thoracic and cardiovascular surgery · 2023Article
- Article
- A Successful Outcome of Veno-Venous Extracorporeal Membrane Oxygenation in Obese Patients with Respiratory Failure in the Course of COVID-19: A Report of Two Cases.International journal of environmental research and public health · 2022Article
- Outcomes of extracorporeal membrane oxygenation following the 2018 adult heart allocation policy.PloS one · 2022Article
- Extracorporeal Membrane Oxygenation Rescue for Severe Aspiration Pneumonitis in Two Patients after Roux-en-y Gastric Bypass Procedure.The journal of extra-corporeal technology · 2021Article
- Review
- Individualized Multimodal Physiologic Approach to Mechanical Ventilation in Patients With Obesity and Severe Acute Respiratory Distress Syndrome Reduced Venovenous Extracorporeal Membrane Oxygenation Utilization.Critical care explorations · 2021Article
- How to ventilate obese patients in the ICU.Intensive care medicine · 2020Review
- Drastic drop in blood flow of extracorporeal membrane oxygenation induced by an excessive increase in intra-abdominal pressure in an obese patient.Clinical case reports · 2019Article
- [Extreme obesity-particular aspect of invasive and noninvasive ventilation].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2019Review
- The use of VV-ECMO in patients with drug dependencies.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018Article
- Risk stratification for severe acute respiratory distress syndrome requiring veno venous extracorporeal membrane oxygenation: a clinical need.Journal of thoracic disease · 2018Article
- Venovenous Extracorporeal Membrane Oxygenation in Two Morbidly Obese Patients.General thoracic and cardiovascular surgery · 2017Article
- Childhood Obesity and Extracorporeal Membrane Oxygenation: Special Considerations for Successful Outcomes.Journal of pediatric intensive care · 2017Article
- Body mass index and echocardiography in refractory ARDS treated with veno-venous extracorporeal membrane oxygenation.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2017Article
- Venovenous Extracorporeal Membrane Oxygenation as a Treatment for Obesity Hypoventilation Syndrome.Case reports in critical care · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyse the association of body weight with hospital mortality of adult patients supported with veno-venous extracorporeal membrane oxygenation (VV ECMO).
methodsRetrospective analysis of the international Extracorporeal Life Support Organization (ELSO) registry. Univariate and multivariable logistic regression analyses were used to estimate the odds ratio (OR) of hospital death for each body weight quartile. Adjustment was made for demographic, physiologic and ECMO-related characteristics. We undertook a similar analysis for the subgroup of patients with confirmed H1N1 infection on VV ECMO.
resultsThe study group consisted of 1,334 adult patients supported with VV ECMO between 2005 and 2011 with a median (Q1, Q3) body weight of 80 kg (69, 101 kg). Univariate analysis identified increased body weight to be associated with a reduced risk of death. In multivariable analysis, only age greater than 53 years, primary diagnosis other than pneumonia and intubation time longer than 3 days prior to initiation of ECMO were independent risk factors for mortality, whereas the association between high body weight and adjusted risk of death (OR 0.73, 95% CI 0.52-1.04, P = 0.08) was no longer statistically significant. The body weight of the 196 patients with confirmed H1N1 infection was significantly higher than that of the remaining study group. Body weight was not significantly associated with risk of death for these patients either (univariate OR for Q4 vs. Q1: 0.75, 95% CI 0.33-1.72, P = 0.49).
conclusionsIncreased body weight was not a risk factor for hospital mortality in adult patients who required support with VV ECMO. High body weight should therefore not be regarded as a contraindication to initiation of VV ECMO in adult patients. Data collection and reporting that include patient height in addition to body weight would facilitate future research into the association of obesity with outcome of ECMO patients.
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