Evidence map›Paper›PMID 34218997›Full record

ArticleJournal of cardiothoracic and vascular anesthesia2022

How Should ECMO Be Used Under Conditions of Severe Scarcity? A Population Study of Public Perception.

Jason J Han, Max Shin, William L Patrick, Akhil Rao, Salim E Olia, Mark R Helmers, Amit Iyengar, John J Kelly, Benjamin Smood, Jacob T Gutsche and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cardiothoracic and vascular anesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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

12 authors at 1 institution in 1 country.

Jason J HanDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Max ShinPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
William L PatrickDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Akhil RaoPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Salim E OliaDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Mark R HelmersDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Amit IyengarDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
John J KellyDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Benjamin SmoodDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Jacob T GutscheDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Christian BermudezDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA.
Marisa CevascoDivision of Cardiovascular Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, PA; Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA. Electronic address: Marisa.cevasco@pennmedicine.upenn.edu.
University of Pennsylvania · US

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

objectiveTo assess societal preferences regarding allocation of extracorporeal membrane oxygenation (ECMO) as a rescue option for select patients with coronavirus disease 2019 (COVID-19).

designCross-sectional survey of a nationally representative sample.

settingAmazon Mechanical Turk platform.

participantsIn total, responses from 1,041 members of Amazon Mechanical Turk crowd-sourcing platform were included. Participants were 37.9 ± 12.6 years old, generally white (65%), and college-educated (66.1%). Many reported working in a healthcare setting (22.5%) and having a friend or family member who was admitted to the hospital (43.8%) or died from COVID-19 (29.9%). MEASUREMENTS AND MAIN

resultsAlthough most reported an unwillingness to stay on ECMO for >one week without signs of recovery, participants were highly supportive of ECMO utilization as a life-preserving technique on a policy level. The majority (96.7%) advocated for continued use of ECMO to treat COVID patients during periods of resource scarcity but would prioritize those with highest likelihood of recovery (50%) followed by those who were sickest regardless of survival chances (31.7%). Patients >40 years old were more likely to prefer distributing ECMO on a first-come first-served basis (21.5% v 13.3%, p < 0.05).

conclusionEven though participants expressed hesitation regarding ECMO in personal circumstances, they were uniformly in support of using ECMO to treat COVID patients at a policy level for others who might need it, even in the setting of severe scarcity.

Indexed as

COVID-19Extracorporeal Membrane OxygenationAdultCross-Sectional StudiesHumansMiddle AgedPublic OpinionSARS-CoV-2bioethicsCOVID-19ECMOjusticeresource allocation

Identifiers

PMID34218997
PMCPMC8249692
OpenAlexW3178951640

What OpenQuestion holds

Textmetadata
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.