Evidence map›Paper›PMID 35751721›Full record

ArticleJournal of artificial organs : the official journal of the Japanese Society for Artificial Organs2023

Subacute groin complications related to ECMO cannulation are associated with longer hospitalizations.

Benjamin Smood, Cody Fowler, Sriram D Rao, Michael V Genuardi, Alexandra E Sperry, Nicholas Goel, Andrew M Acker, Salim E Olia, Amit Iyengar, Jason J Han and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Comparison of Cannulation Strategies for Minimally Invasive Mitral Valve Surgery.Interdisciplinary cardiovascular and thoracic surgery · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

15 authors at 2 institutions in 1 country.

Benjamin SmoodDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA. Benjamin.Smood@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0002-8667-6591
Cody FowlerUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Sriram D RaoUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Michael V GenuardiUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Alexandra E SperryUniversity of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Nicholas GoelDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Andrew M AckerDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Salim E OliaDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Amit IyengarDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Jason J HanDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Mark R HelmersDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
William L PatrickDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
John J KellyDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Christian BermudezDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA.
Marisa CevascoDivision of Cardiovascular Surgery, Department of Surgery, The Hospital of the University of Pennsylvania, 3400 Spruce Street, 6 Silverstein, Philadelphia, PA, 19104, USA. Marisa.Cevasco@pennmedicine.upenn.edu.
Hospital of the University of Pennsylvania · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subacute groin complications associated with extracorporeal membrane oxygenation (ECMO) cannulation are well recognized, yet their effects on clinical outcomes remain unknown. This single-center, retrospective study reviewed all patients receiving venoarterial ECMO from 01/2017 to 02/2020. Cohorts analyzed included transplanted patients (TPs) and non-transplanted patients (N-TPs) who did or did not develop ECMO-related subacute groin complications. Standard descriptive statistics were used for comparisons. Logistic regressions identified associated risk factors. Overall, 82/367 (22.3%) ECMO patients developed subacute groin complications, including 25/82 (30.5%) seromas/lymphoceles, 32/82 (39.0%) hematomas, 18/82 (22.0%) infections, and 7/82 (8.5%) non-specified collections. Of these, 20/82 (24.4%) underwent surgical interventions, most of which were muscle flaps (14/20, 70.0%). TPs had a higher incidence of subacute groin complications than N-TPs (14/28, 50.0% vs. 68/339, 20.1%, P = 0.001). Seromas/lymphoceles more often developed in TPs than N-TPs (10/14, 71.4% vs. 15/68, 22.1%, P = 0.001). Most patients with subacute groin complications survived to discharge (60/68, 88.2%). N-TPs who developed subacute groin complications had longer post-ECMO lengths of stay than those who did not (34 days, IQR 16-53 days vs. 17 days, IQR 8-34 days, P < 0.001). Post-ECMO length of stay was also longer among patients who underwent related surgical interventions compared to those who did not (50 days, IQR 35-67 days vs. 29 days, IQR 16-49 days, P = 0.007). Transplantation was the strongest risk factor for developing subacute groin complications (OR 3.91, CI

Indexed as

Extracorporeal Membrane OxygenationLymphoceleCatheterizationGroinHumansLength of StayRetrospective StudiesSeromaECMOECPRExtracorporeal membrane oxygenationGroin complicationsTransplant

Identifiers

PMID35751721
OpenAlexW4283520267

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.