Evidence map›Paper›PMID 38873894›Full record

ArticleThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2024

Strategies and outcomes of extracorporeal membrane oxygenation use in peripartum patients: a single institution experience.

Ryan W Wong, Angela R Seasely, Enrique Gongora, Charles W Hoopes, Scott Bellot, Samuel K McElwee, Victoria Rusanov, Keith Wille, Thomas Kaleekal, Tammy Marshall and 6 more

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In one paragraph

Article in The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

16 authors.

Ryan W WongTinsley Harrison Internal Medicine Residency Program, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Angela R SeaselyDivision of Maternal-Fetal Medicine, UAB Department of Obstetrics and Gynecology, Birmingham, AL, USA.
Enrique GongoraDivision of Cardiothoracic Surgery, UAB Department of Surgery, Birmingham, AL, USA.
Charles W HoopesDivision of Cardiothoracic Surgery, UAB Department of Surgery, Birmingham, AL, USA.
Scott BellotDivision of Cardiothoracic Surgery, UAB Department of Surgery, Birmingham, AL, USA.
Samuel K McElweeDivision of Cardiovascular Disease, UAB Department of Medicine, Birmingham, AL, USA.
Victoria RusanovDivision of Pulmonary, Allergy, and Critical Care Medicine, UAB Department of Medicine, Birmingham, AL, USA.
Keith WilleDivision of Pulmonary, Allergy, and Critical Care Medicine, UAB Department of Medicine, Birmingham, AL, USA.
Thomas KaleekalDivision of Pulmonary, Allergy, and Critical Care Medicine, UAB Department of Medicine, Birmingham, AL, USA.
Tammy MarshallUAB Department of Mechanical Circulatory Support, Birmingham, AL, USA.
Joanna M JolyDivision of Cardiovascular Disease, UAB Department of Medicine, Birmingham, AL, USA.
Andrew LennemanDivision of Cardiovascular Disease, UAB Department of Medicine, Birmingham, AL, USA.
Jose TallajDivision of Cardiovascular Disease, UAB Department of Medicine, Birmingham, AL, USA.
Salpy V PamboukianDivision of Cardiovascular Disease, University of Washington, Seattle, WA, USA.
Rachel SinkeyDivision of Maternal-Fetal Medicine, UAB Department of Obstetrics and Gynecology, Birmingham, AL, USA.
Erik J Orozco-HernandezDivision of Cardiothoracic Surgery, UAB Department of Surgery, Birmingham, AL, USA.

Funding

The ACHIEVE Trial: Achieving longer gestation in preeclampsia via antihypertensive therapy.K23HL159331 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Rachel G Sinkey · 2022 to 2026
$884k
NHLBI NIH HHS K23 HL159331
6 · The paper itself

Abstract

backgroundExtracorporeal membrane oxygenation (ECMO) use in peripartum patients is rare, and there is a gap in the literature on the outcomes and guidance on using ECMO in peripartum patients. This study describes ECMO strategies our institution uses for peripartum patients and reports outcomes of ECMO use in peripartum patients with respiratory and/or cardiac failure.

methodsA case series of all peripartum patients, defined as pregnant or up to 6 weeks after delivery of an infant >20 weeks gestation, from 2018 to 2023 from a single center requiring ECMO support. Patients were included if ECMO was initiated in the setting of cardiac, pulmonary, or combined failure. Patient demographics, operative details, ECMO data, and adverse outcomes for maternal, fetus, and neonates were all collected.

resultsEighteen patients met the inclusion criteria. The cohort had a mean maternal age of 30.7 years old and was racially diverse. A majority of this cohort tested positive for COVID-19 (

conclusionsECMO use in peripartum patients in a single tertiary center was associated with a high survival rate. Furthermore, a strong multidisciplinary team, careful reevaluation of clinical trajectory, and consideration of complications and risks associated with using ECMO in peripartum patients are possible frameworks to use when challenged with critically ill peripartum patients.

Indexed as

COVID-19Extracorporeal Membrane OxygenationPeripartum PeriodAdultFemaleHeart FailureHumansInfant, NewbornPregnancyRespiratory InsufficiencyRetrospective StudiesSARS-CoV-2Young AdultAcute respiratory distress syndromecardiogenic shockextracorporeal membrane oxygenationperipartum periodpregnancy

Identifiers

PMID38873894
PMCPMC11512991

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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.