Evidence map›Paper›PMID 37845266›Full record

ArticleScientific reports2023

Predictors of in-hospital mortality after successful weaning of venoarterial extracorporeal membrane oxygenation in cardiogenic shock.

Joo Hee Jeong, Hyungdon Kook, Seung Hun Lee, Hyung Joon Joo, Jae Hyoung Park, Soon Jun Hong, Mi-Na Kim, Seong-Mi Park, Jae Seung Jung, Jeong Hoon Yang and 11 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  5. Article
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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

21 authors at 10 institutions in 2 countries.

Joo Hee Jeong *Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea.
Hyungdon Kook *Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.
Seung Hun LeeDivision of Cardiology, Department of Internal Medicine, Donggunsan Hospital, Gunsan, Korea.
Hyung Joon JooDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea.
Jae Hyoung ParkDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea.
Soon Jun HongDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea.
Mi-Na KimDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea.
Seong-Mi ParkDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea.
Jae Seung JungDepartment of Thoracic and Cardiovascular Surgery, Korea University College of Medicine and Korea University Anam Hospital, Seoul, Korea.
Jeong Hoon YangDivision of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Hyeon-Cheol GwonDivision of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Chul-Min AhnDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Woo Jin JangDepartment of Cardiology, Ewha Woman's University Seoul Hospital, Ehwa Woman's University School of Medicine, Seoul, Korea.
Hyun-Joong KimDivision of Cardiology, Department of Medicine, Konkuk University Medical Center, Seoul, Korea.
Jang-Whan BaeDepartment of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Sung Uk KwonDivision of Cardiology, Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Wang Soo LeeDivision of Cardiology, Department of Medicine, Chung-Ang University Hospital, Seoul, Korea.
Jin-Ok JeongDivision of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Korea.
Sang-Don ParkDivision of Cardiology, Department of Medicine, Inha University Hospital, Incheon, Korea.
Seong-Hoon LimDivision of Cardiovascular Medicine, Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.
Cheol Woong YuDivision of Cardiology, Department of Internal Medicine, Korea University College of Medicine and Korea University Anam Hospital, Goryeodae-ro, Sungbuk-ku, Seoul, 02841, Korea. ycw717@naver.com.ORCID http://orcid.org/0000-0002-5871-4562
Korea University · KRSamsung Medical Center · KRChung-Ang University Hospital · KRChungbuk National University · KRDankook University Hospital · KREwha Womans University · KRHanyang University · KRInje University Ilsan Paik Hospital · KRKonkuk University Medical Center · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Limited knowledge exists regarding the predictors of mortality after successful weaning of venoarterial extracorporeal membrane oxygenation (ECMO). We aimed to identify predictors of in-hospital mortality in patients with cardiogenic shock (CS) after successful weaning from ECMO. Data were obtained from a multicenter registry of CS. Successful ECMO weaning was defined as survival with minimal mean arterial pressure (> 65 mmHg) for > 24 h after ECMO removal. The primary outcome was in-hospital mortality after successful ECMO weaning. Among 1247 patients with CS, 485 received ECMO, and 262 were successfully weaned from ECMO. In-hospital mortality occurred in 48 patients (18.3%). Survivors at discharge differed significantly from non-survivors in age, cardiovascular comorbidities, cause of CS, left ventricular ejection fraction, and use of adjunctive therapy. Five independent predictors for in-hospital mortality were identified: use of continuous renal replacement therapy (odds ratio 5.429, 95% confidence interval [CI] 2.468-11.940; p < 0.001), use of intra-aortic balloon pump (3.204, 1.105-9.287; p = 0.032), diabetes mellitus (3.152, 1.414-7.023; p = 0.005), age (1.050, 1.016-1.084; p = 0.003), and left ventricular ejection fraction after ECMO insertion (0.957, 0.927-0.987; p = 0.006). Even after successful weaning of ECMO, patients with irreversible risk factors should be recognized, and careful monitoring should be done for sign of deconditioning.

Indexed as

Extracorporeal Membrane OxygenationShock, CardiogenicHospital MortalityHumansRetrospective StudiesStroke VolumeVentilator WeaningVentricular Function, Left

Identifiers

PMID37845266
PMCPMC10579350
OpenAlexW4387668985

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Registered trials

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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.