Evidence map›Paper›PMID 26686427›Full record

ArticleSeminars in thoracic and cardiovascular surgery2015

Trends in U.S. Extracorporeal Membrane Oxygenation Use and Outcomes: 2002-2012.

Fenton H McCarthy, Katherine M McDermott, Vinay Kini, Jacob T Gutsche, Joyce W Wald, Dawei Xie, Wilson Y Szeto, Christian A Bermudez, Pavan Atluri, Michael A Acker and 1 more

4 registry-linked trialsAbstract read
In one paragraph

Article in Seminars in thoracic and cardiovascular surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 80 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 8 pooled it
–field-weighted citation impact
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.

NCT03857217 unknown statusnot on this mapstarted 2019, after this paper: background citation

Post-Cardiotomy Extra-Corporeal Life Support Study: a Retrospective International Multicenter Cohort Study

TypeobservationalSponsorMaastricht University Medical CenterRan2019 to 2019Enrolled2,000ConditionsCardiogenic Shock, Resuscitation, Cardiac SurgeryArmsExtra-Corporeal Membrane Oxygenation
NCT05042622 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Innovative Solutions to Organ-substituting Technologies in the Treatment of Heart and Pulmonary Failure

TypeinterventionalSponsorNational Research Center for Cardiac Surgery, KazakhstanRan2021 to 2023Enrolled90ConditionsAcute Respiratory Distress Syndrome, Septic Shock, SepsisArmsCytokine adsorber filter, Extracorporeal hemoperfusion cartridge
NCT05163925 recruitingnot on this mapstarted 2022, after this paper: background citation

A Prospective Single Center Study to Evaluate Safety and Efficacy of the EUROSETS Extracorporeal Membrane Oxygenation ECMOLIFE SYSTEM in Clinical Extracorporeal Life Support Applications EUROSETS ECMO STUDY

TypeobservationalSponsorEurosets S.r.l.Ran2022 to 2025Enrolled30ConditionsExtracorporeal Membrane Oxygenation ComplicationArmsEurosets ECMO Life System
NCT05469139 completednot on this mapstarted 2021, after this paper: background citation

Assessing Brain Injury Using Portable Magnetic Resonance Imaging in Patients With Extracorporeal Membrane Oxygenation

TypeobservationalSponsorJohns Hopkins UniversityRan2021 to 2024Enrolled50ConditionsExtracorporeal Membrane Oxygenation Complication, Acute Brain InjuryArmsPortable MRI acquisition
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effects of levosimendan on the outcome of veno-arterial extracorporeal membrane oxygenation: a systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Pooled it
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  9. Trial
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  13. Article
  14. Extracorporeal Membrane Oxygenation (ECMO) and hospital economics.The journal of extra-corporeal technology · 2025
    Article
  15. Impact of pre-transplant veno-venous extracorporeal membrane oxygenation on post-lung transplant infections.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Article
  16. Article
  17. Prognostic Significance of Driving Pressure for Initiation and Maintenance of ECMO in Patients with Severe ARDS: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Fenton H McCarthyDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Katherine M McDermottDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Vinay KiniDivision of Cardiovascular Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Jacob T GutscheDepartment of Anesthesia, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Joyce W WaldDivision of Cardiovascular Medicine, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Dawei XieDepartment of Biostatistics and Epidemiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Wilson Y SzetoDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Christian A BermudezDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Pavan AtluriDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Michael A AckerDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
Nimesh D DesaiDivision of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania. Electronic address: Nimesh.Desai@uphs.upenn.edu.

Funding

Training Program in Cardiovascular Biology and MedicineT32HL007843 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI THOMAS P. CAPPOLA, Sharlene M Day · 1996 to 2026
$11.0M
NHLBI NIH HHS T32 HL007843
6 · The paper itself

Abstract

This study evaluates contemporary trends in the use and outcomes of adult patients undergoing extracorporeal membrane oxygenation (ECMO) in U.S. hospitals. All adult discharges in the Nationwide Inpatient Sample database during the years 2002-2012 that included ECMO were used to estimate the total number of U.S. ECMO hospitalizations (n = 12,407). Diagnostic codes were used to group patients by indication for ECMO use into postcardiotomy, heart transplant, lung transplant, cardiogenic shock, respiratory failure, and cardiopulmonary failure. A Mann-Kendall test was used to examine trends over time using standard statistical techniques for survey data. We found that ECMO use increased significantly from 2002-2012 (P = 0.003), whereas in-hospital mortality rate fluctuated without a significant difference in trend over time. No significant trend was observed in overall ECMO use from 2002-2007, but the use did demonstrate a statistically significant increase from 2007-2012 (P = 0.0028). The highest in-hospital mortality rates were found in the postcardiotomy (57.2%) and respiratory failure (59.2%) groups. Lung and heart transplant groups had the lowest in-hospital mortality rates (44.10% and 45.31%, respectively). The proportion of ECMO use for postcardiotomy decreased from 56.9% in 2002 to 37.9% in 2012 (P = 0.026) and increased for cardiopulmonary failure from 3.9% to 11.1% (P = 0.026). We concluded that ECMO use in the United States increased between 2002 and 2012, driven primarily by increase in national ECMO use beginning in 2007. Mortality rates remained high but stable during this time period. Though there were shifts in relative ECMO use among patient groups, absolute ECMO use increased for all indications over the study period.

Indexed as

Databases, FactualExtracorporeal Membrane OxygenationFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedPatient SelectionPractice Patterns, Physicians'Process Assessment, Health CareRisk FactorsTime FactorsTreatment OutcomeUnited States

Identifiers

PMID26686427
PMCPMC4780346

What OpenQuestion holds

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Registered trials

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.