ArticleJournal of clinical medicine2020
Complications in Patients with Acute Myocardial Infarction Supported with Extracorporeal Membrane Oxygenation.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Impact of spirituality on elderly people's quality of life and life satisfaction after acute myocardial infarction: Iranian hospital-based study.BJPsych open · 2023Article
- Veno-Arterial Extracorporeal Membrane Oxygenation in Patients with Fulminant Myocarditis: A Review of Contemporary Literature.Medicina (Kaunas, Lithuania) · 2022Review
- Contemporary Management of Cardiogenic Shock: A RAND Appropriateness Panel Approach.Circulation. Heart failure · 2021Article
- Body Mass Index and In-Hospital Management and Outcomes of Acute Myocardial Infarction.Medicina (Kaunas, Lithuania) · 2021Article
- Influence of primary payer status on non-ST-segment elevation myocardial infarction: 18-year retrospective cohort national temporal trends, management and outcomes.Annals of translational medicine · 2021Article
- Temporal Trends, Predictors, and Outcomes of Acute Ischemic Stroke in Acute Myocardial Infarction in the United States.Journal of the American Heart Association · 2021Article
- Current Landscape of Temporary Percutaneous Mechanical Circulatory Support Technology.US cardiology · 2021Review
- Trends and differences in management and outcomes of cardiac arrest in underweight and obese acute myocardial infarction hospitalizations.American journal of cardiovascular disease · 2021Article
- Contemporary National Outcomes of Acute Myocardial Infarction-Cardiogenic Shock in Patients with Prior Chronic Kidney Disease and End-Stage Renal Disease.Journal of clinical medicine · 2020Article
- Influence of seasons on the management and outcomes acute myocardial infarction: An 18-year US study.Clinical cardiology · 2020Article
- Intracranial Hemorrhage Complicating Acute Myocardial Infarction: An 18-Year National Study of Temporal Trends, Predictors, and Outcomes.Journal of clinical medicine · 2020Article
- Same-Day Versus Non-Simultaneous Extracorporeal Membrane Oxygenation Support for In-Hospital Cardiac Arrest Complicating Acute Myocardial Infarction.Journal of clinical medicine · 2020Article
- Article
- The science of safety: complications associated with the use of mechanical circulatory support in cardiogenic shock and best practices to maximize safety.F1000Research · 2020Review
- Influence of primary payer status on the management and outcomes of ST-segment elevation myocardial infarction in the United States.PloS one · 2020Article
- Impact of concomitant respiratory infections in the management and outcomes acute myocardial infarction-cardiogenic shock.Indian heart journalArticle
- [5-year experience in short-term mechanical circulatory support in post-myocardial infarction patients: a report from the INCORMACS].Archivos peruanos de cardiologia y cirugia cardiovascularArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundThere are limited data on complications in acute myocardial infarction (AMI) admissions receiving extracorporeal membrane oxygenation (ECMO).
methodsAdult (>18 years) admissions with AMI receiving ECMO support were identified from the National Inpatient Sample database between 2000 and 2016. Complications were classified as vascular, lower limb amputation, hematologic, and neurologic. Outcomes of interest included temporal trends, in-hospital mortality, hospitalization costs, and length of stay.
resultsIn this 17-year period, in ~10 million AMI admissions, ECMO support was used in 4608 admissions (<0.01%)-mean age 59.5 ± 11.0 years, 75.7% men, 58.9% white race. Median time to ECMO placement was 1 (interquartile range [IQR] 0-3) day. Complications were noted in 2571 (55.8%) admissions-vascular 6.1%, lower limb amputations 1.1%, hematologic 49.3%, and neurologic 9.9%. There was a steady increase in overall complications during the study period (21.1% in 2000 vs. 70.5% in 2016). The cohort with complications, compared to those without complications, had comparable adjusted in-hospital mortality (60.7% vs. 54.0%; adjusted odds ratio 0.89 [95% confidence interval 0.77-1.02]; p = 0.10) but longer median hospital stay (12 [IQR 5-24] vs. 7 [IQR 3-21] days), higher median hospitalization costs ($458,954 [IQR 260,522-737,871] vs. 302,255 [IQR 173,033-623,660]), fewer discharges to home (14.7% vs. 17.9%), and higher discharges to skilled nursing facilities (44.1% vs. 33.9%) (all p < 0.001).
conclusionsOver half of all AMI admissions receiving ECMO support develop one or more severe complications. Complications were associated with higher resource utilization during and after the index hospitalization.
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