Evidence map›Paper›PMID 26160033›Full record

ArticleCritical care (London, England)2015

The Stockholm experience: interhospital transports on extracorporeal membrane oxygenation.

L Mikael Broman, Bernhard Holzgraefe, Kenneth Palmér, Björn Frenckner

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
10.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 171 citations in OpenAlex.

  1. Article
  2. Queensland adult ECMO retrieval service: A description of the service and analysis of outcomes.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  3. Article
  4. Immediate post-ECPR management strategies in the prehospital and critical care transport medicine environments.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Review
  5. Review
  6. Article
  7. A Simulation Curriculum for Ground and Air ECMO Transport.MedEdPORTAL : the journal of teaching and learning resources · 2025
    Article
  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

L Mikael BromanECMO Center Karolinska, Karolinska University Hospital, 171 76, Stockholm, Sweden. lars.broman@karolinska.se.
Bernhard HolzgraefeECMO Center Karolinska, Karolinska University Hospital, 171 76, Stockholm, Sweden. bernhard.holzgraefe@karolinska.se.
Kenneth PalmérECMO Center Karolinska, Karolinska University Hospital, 171 76, Stockholm, Sweden. kenneth.palmer@karolinska.se.
Björn FrencknerDepartment of Pediatric Surgery, Women's and Children's Health, Karolinska University Hospital, Solna, 171 76, Stockholm, Sweden. bjorn.frenckner@karolinska.se.
Karolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn severe respiratory and/or circulatory failure, extracorporeal membrane oxygenation (ECMO) may be a lifesaving procedure. Specialized departments provide ECMO, and these patients often have to be transferred for treatment. Conventional transportation is hazardous, and deaths have been described. Only a few centers have performed more than 100 ECMO transports. To date, our mobile ECMO teams have performed more than 700 transports with patients on ECMO since 1996. We describe 4 consecutive years (2010-2013) of 322 national and international ECMO transports and report adverse events.

methodsData were retrieved from our local databases. Neonatal, pediatric and adult patients were transported, predominantly with refractory severe respiratory failure.

resultsThe patients were cannulated in 282 of the transports, and ECMO was started in these patients at the referring hospital and then they were transported to our ECMO intensive care unit. In 40 cases, the patient was already on ECMO. Of the transports, 60% were by aircraft, and the distances varied from 6.9 to 13,447 km. In about 27.3% of the transports, adverse events occurred. Of these, the most common were either patient-related (22%) or equipment-related (5.3%). No deaths occurred during transport, and transferred patients exhibited the same mortality rate as in-hospital patients.

conclusionsLong- and short-distance interhospital transports on ECMO can be safely performed. A myriad of complications can occur, but the mortality risk is very low. The staff involved should be highly competent in intensive care, ECMO physiology and physics, cannulation, intensive care transport and air transport medicine. They should also be skilled in recognition of risk factors involved in these patients.

Indexed as

Extracorporeal Membrane OxygenationPatient TransferAmbulancesHumansPatient Care TeamPatient SafetyQuality Assurance, Health CareRetrospective StudiesSwedenTertiary Care Centers

Identifiers

PMID26160033
PMCPMC4498561
OpenAlexW2122168890

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.