Evidence map›Paper›PMID 35438810›Full record

ArticleJournal of cardiac surgery2022

Coronavirus 2019 (COVID-19) venovenous extracorporeal oxygenation: Single community hospital results and insights.

James Lee West, Andrew Nutting, Brock Daughtry, Andrew M Frey, Clara T Nicolas, Rayan Saab, David H Sibley, Joshua Smith, Ronald Roan, Michael Crain

Abstract read
In one paragraph

Article in Journal of cardiac surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

James Lee WestPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.ORCID http://orcid.org/0000-0001-9728-1192
Andrew NuttingPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Brock DaughtryPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Andrew M FreyPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Clara T NicolasPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Rayan SaabPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
David H SibleyPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Joshua SmithPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Ronald RoanPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.
Michael CrainPrinceton Baptist Medical Center, Brookwood Baptist Health System, Birmingham, Alabama, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of extracorporeal membrane oxygenation (ECMO) for patients with refractory respiratory failure due to coronavirus 2019 (COVID-19) is still unclear even now over a year into the pandemic. ECMO is becoming more commonplace even at smaller community hospitals. While the advantages of venovenous (VV) ECMO in acute respiratory distress syndrome (ARDS) from COVID-19 have not been fully determined, we believe the benefits outweighed the risks in our patient population. Here we describe all patients who underwent VV ECMO at our center.

methodsAll patients placed on ECMO at our center since the beginning of the pandemic, May 5, 2020, until February 20, 2021 were included in our study. All patients placed on ECMO during the time period described above were followed until discharge or death. The primary endpoint was in-hospital death. Secondary outcomes included discharge disposition, that is, whether patients were sent to a long-term acute care center (LTAC), inpatient rehabilitation, or went directly home.

resultsA total of 41 patients were placed on VV ECMO for refractory acute respiratory failure. Survival to discharge, the primary end point, was 63.4% (26/41). Inpatient mortality was 36.6% (15/41).

conclusionsWe show here that a successful high-volume VV ECMO program for ARDS is achievable at even a medium-size community hospital. We think our success can be replicated by most small- and medium-size community hospitals with cardiothoracic surgery programs and intensivist teams.

Indexed as

COVID-19Respiratory Distress SyndromeHospital MortalityHospitals, CommunityHumansRetrospective StudiesCOVID-19critical careECMO

Identifiers

PMID35438810
PMCPMC9115259

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.