Evidence map›Paper›PMID 37342313›Full record

ArticleCritical care research and practice2023

Extracorporeal Membrane Oxygenation to Support COVID-19 Patients: A Propensity-Matched Cohort Study.

Björn Stessel, Maayeen Bin Saad, Lotte Ullrick, Laurien Geebelen, Jeroen Lehaen, Philippe Jr Timmermans, Michiel Van Tornout, Ina Callebaut, Jeroen Vandenbrande, Jasperina Dubois

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Critical care research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05158816 (Extracorporal Membrane Oxygenation for Critically Ill Patients With COVID-19), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 62% 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.

NCT05158816 completednot on this map

Extracorporal Membrane Oxygenation for Critically Ill Patients With COVID-19: a Single Centre Analysis

TypeobservationalSponsorJessa HospitalRan2021 to 2022Enrolled295ConditionsCOVID-19ArmsECMO
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Björn StesselDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.ORCID https://orcid.org/0000-0002-1422-2777
Maayeen Bin SaadDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.ORCID https://orcid.org/0009-0000-2430-5456
Lotte UllrickDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.
Laurien GeebelenDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.
Jeroen LehaenDepartment of Cardiothoracic Surgery, Jessa Hospital, Hasselt, Belgium.
Philippe Jr TimmermansDepartment of Cardiology, Jessa Hospital, Hasselt, Belgium.
Michiel Van TornoutDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.
Ina CallebautDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.ORCID https://orcid.org/0000-0002-6666-6783
Jeroen VandenbrandeDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.ORCID https://orcid.org/0000-0003-2720-0013
Jasperina DuboisDepartment of Intensive Care and Anaesthesiology, Jessa Hospital, Hasselt, Belgium.ORCID https://orcid.org/0000-0002-8076-9279
Jessa Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In patients with severe respiratory failure from COVID-19, extracorporeal membrane oxygenation (ECMO) treatment can facilitate lung-protective ventilation and may improve outcome and survival if conventional therapy fails to assure adequate oxygenation and ventilation. We aimed to perform a confirmatory propensity-matched cohort study comparing the impact of ECMO and maximum invasive mechanical ventilation alone (MVA) on mortality and complications in severe COVID-19 pneumonia. Materials and Methods: All 295 consecutive adult patients with confirmed COVID-19 pneumonia admitted to the intensive care unit (ICU) from March 13 Results: A total of 24 ECMO patients were propensity matched to an equal number of MVA patients. ICU mortality was significantly higher in the ECMO arm (45.8%) compared with the MVA cohort (16.67%) (OR 4.23 (1.11, 16.17); Conclusion: ECMO therapy may be associated with an up to a three-fold increase in ICU mortality and 3-month mortality compared to MVA despite the facilitation of lung-protective ventilation settings in mechanically ventilated COVID-19 patients. We cannot confirm the positive results of the first propensity-matched cohort study on this topic. This trial is registered with NCT05158816.

Identifiers

PMID37342313
PMCPMC10279486
OpenAlexW4380357198

What OpenQuestion holds

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Registered trials

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.