Evidence map›Paper›PMID 30054124›Full record

Trial reportHeart, lung & circulation2019

Long-Term Survival and Health-Related Quality of Life in Adults After Extra Corporeal Membrane Oxygenation.

Mark A Roll, Suzanne Kuys, James R Walsh, Oystein Tronstad, Marc D Ziegenfuss, Dan V Mullany

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Heart, lung & circulation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 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.

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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Quality of life following adult veno-venous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Pooled it
  3. Extracorporeal Life Support in Pregnancy: A Systematic Review.Journal of the American Heart Association · 2020
    Pooled it
  4. Article
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  9. Review
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  11. Noteworthy Literature of 2020: COVID Effects in Cardiac Surgery.Seminars in cardiothoracic and vascular anesthesia · 2021
    Review
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  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Mark A RollPhysiotherapy Department, The Prince Charles Hospital, Brisbane, Qld, Australia. Electronic address: mark.roll@health.qld.gov.au.
Suzanne KuysPhysiotherapy Department, The Prince Charles Hospital, Brisbane, Qld, Australia; School of Physiotherapy, Australian Catholic University, Brisbane, Qld, Australia.
James R WalshPhysiotherapy Department, The Prince Charles Hospital, Brisbane, Qld, Australia; School of Allied Health Sciences, Griffith University, Gold Coast, Qld, Australia.
Oystein TronstadPhysiotherapy Department, The Prince Charles Hospital, Brisbane, Qld, Australia; Intensive Care Unit, The Prince Charles Hospital, Brisbane, Qld, Australia; Critical Care Research Group, University of Queensland, Brisbane, Qld, Australia.
Marc D ZiegenfussIntensive Care Unit, The Prince Charles Hospital, Brisbane, Qld, Australia.
Dan V MullanyIntensive Care Unit, The Prince Charles Hospital, Brisbane, Qld, Australia; Critical Care Research Group, University of Queensland, Brisbane, Qld, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aims to determine long-term survival, health-related quality of life (HRQoL) and functional and physical outcomes of adult extra corporeal membrane oxygenation (ECMO) patients as there are limited and conflicting data in this area.

methodsAll patients receiving ECMO from April 2009 until June 2014 at The Prince Charles Hospital, Brisbane had Kaplan Meier survival calculated. Quality of life (QoL) was assessed using the Short Form Health Survey (SF-36v2), EQ5D-5L, The Frenchay Activities Index (FAI) and a return to work survey. From December 2011, these measures and 6-minute walk distance (6MWD) were assessed at hospital discharge and 12 months post-discharge.

resultsSeventy-seven (77) patients (45 veno-arterial and 32 veno-venous) received ECMO of whom 47/77 (61%) survived to hospital discharge. There were no deaths recorded in those discharged alive from the intensive care unit at median follow-up time 1,011days (range 227-2,014 days). Mean SF-36 scores (n=33) and EQ5D were assessed at a median of 606days after hospital discharge. SF-36 scores were significantly (p<0.05) worse than age-matched norms in all domains except vitality, bodily pain and mental health. Thirteen (13) (39%) participants had persistent problems with mobility and usual activity as measured by EQ5D. At 12 months post-ECMO, 6MWD was 531(IQR:397.3-626.8)m; 72% (IQR:53.2-77.6%) predicted but had improved by 223m (p=0.002) when compared to baseline. Nineteen (19) of 20 participants who had been employed pre-ECMO had returned to work.

conclusionsAll ECMO patients discharged from hospital were alive at follow-up. Despite improvements in physical measures and HRQoL, long-term functional deficits persist when compared to that of aged- and sex-matched norms.

Indexed as

Extracorporeal Membrane OxygenationIntensive Care UnitsPatient DischargeQuality of LifeSurvivorsAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedECMOOutcomesQuality of LifeSurvival

Identifiers

What OpenQuestion holds

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Registered trials

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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.