Evidence map›Paper›PMID 36760815›Full record

ArticleCritical care explorations2023

Extracorporeal Membrane Oxygenation for COVID-19: Comparison of Outcomes to Non-COVID-19-Related Viral Acute Respiratory Distress Syndrome From the Extracorporeal Life Support Organization Registry.

Abhimanyu Chandel, Nitin Puri, Emily Damuth, Christopher Potestio, Lars-Kristofer N Peterson, Julia Ledane, Craig R Rackley, Christopher S King, Steven A Conrad, Adam Green

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 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
1.5field-weighted citation impact, top 19% 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, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
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 at 3 institutions in 1 country.

Abhimanyu ChandelDepartment of Pulmonary and Critical Care Medicine, Walter Reed National Medical Center, Bethesda, MD.
Nitin PuriDepartment of Critical Care Medicine, Cooper University Health Care, Camden, NJ.
Emily DamuthDepartment of Critical Care Medicine, Cooper University Health Care, Camden, NJ.
Christopher PotestioDepartment of Anesthesia, Cooper University Health Care, Camden, NJ.
Lars-Kristofer N PetersonDepartment of Critical Care Medicine, Cooper University Health Care, Camden, NJ.
Julia LedaneCooper Medical School of Rowan University, Camden, NJ.
Craig R RackleyDepartment of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University Health System, Durham, NC.
Christopher S KingAdvanced Lung Disease and Transplant Clinic, Inova Fairfax Hospital, Falls Church, VA.
Steven A ConradDepartments of Medicine, Emergency Medicine, Pediatrics and Surgery, Louisiana State University Health Sciences Center, Shreveport, LA.
Adam GreenDepartment of Critical Care Medicine, Cooper University Health Care, Camden, NJ.
Cooper University Health Care · USCooper Medical School of Rowan University · USInova Fairfax Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare complications and mortality between patients that required extracorporeal membrane oxygenation (ECMO) support for acute respiratory distress syndrome (ARDS) due to COVID-19 and non-COVID-19 viral pathogens.

designRetrospective observational cohort study.

settingAdult patients in the Extracorporeal Life Support Organization registry. PATIENTS: Nine-thousand two-hundred ninety-one patients that required ECMO for viral mediated ARDS between January 2017 and December 2021.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe primary outcomes of interest were mortality during ECMO support and prior to hospital discharge. Time-to-event analysis and logistic regression were used to compare outcomes between the groups. Among 9,291 included patients, 1,155 required ECMO for non-COVID-19 viral ARDS and 8,136 required ECMO for ARDS due to COVID-19. Patients with COVID-19 had longer duration of ECMO (19.6 d [interquartile range (IQR), 10.1-34.0 d] vs 10.7 d [IQR, 6.3-19.7 d];

conclusionsPatients with COVID-19 that require ECMO have longer duration of ECMO, more complications, and higher in-hospital mortality compared with patients with non-COVID-19-related viral ARDS. Further study in patients with COVID-19 is critical to identify the patient phenotype most likely to benefit from ECMO and to better define the role of ECMO in the management of this disease process.

Indexed as

COVID-19extracorporeal membrane oxygenationrespiratory distress syndromerespiratory insufficiencyviral pneumonia

Identifiers

PMID36760815
PMCPMC9901999
OpenAlexW4319069508

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.