Evidence map›Paper›PMID 39047075›Full record

ArticlePerfusion2025

Worldwide application and valuation of extracorporeal membrane oxygenation support during the COVID-19 pandemic (WAVES).

Akram M Zaaqoq, Silver Heinsar, Hwan-Jin Yoon, Nicole White, Matthew J Griffee, Jacky Y Suen, Gianluigi L Bassi, Jonathon P Fanning, Ahmad Labib Shehatta, Peta M A Alexander and 7 more

Abstract read
In one paragraph

Article in Perfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Akram M ZaaqoqDepartment of Anesthesiology, Division of Critical Care, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0003-3147-5044
Silver HeinsarCritical Care Research Group, University of Queensland and Adult Intensive Care Service, Prince Charles Hospital Brisbane, QLD, Australia.
Hwan-Jin YoonSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.
Nicole WhiteCritical Care Research Group, University of Queensland and Adult Intensive Care Service, Prince Charles Hospital Brisbane, QLD, Australia.
Matthew J GriffeeDepartment of Anesthesiology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Jacky Y SuenCritical Care Research Group, University of Queensland and Adult Intensive Care Service, Prince Charles Hospital Brisbane, QLD, Australia.
Gianluigi L BassiCritical Care Research Group, University of Queensland and Adult Intensive Care Service, Prince Charles Hospital Brisbane, QLD, Australia.
Jonathon P FanningCritical Care Research Group, University of Queensland and Adult Intensive Care Service, Prince Charles Hospital Brisbane, QLD, Australia.
Ahmad Labib ShehattaMedical Intensive Care Unit, Hamad General Hospital, Weill Cornell Medicine, Doha, Qatar.
Peta M A AlexanderDepartment of Cardiology, Boston Children's Hospital; Department of Pediatrics, Harvard Medical School, Boston, MA.
Jeffrey P JacobsCongenital Heart Center, Division of Cardiovascular Surgery, University of Florida, Gainesville, FL, USA.
Heidi J DaltonDepartment of Pediatrics, Inova Fairfax Hospital, Falls Church, VA, USA.
Roberto LorussoCardio-Thoracic Surgery Department, Heart and Vascular Centre, Maastricht University Medical Centre (MUMC), and Cardiovascular Research Institute Maastricht (CARIM), Maastricht, The Netherlands.ORCID 0000-0002-1777-2045
Sung-Min ChoDepartment of Surgery, Division of Cardiac Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Giles J PeekCongenital Heart Center, Division of Cardiovascular Surgery, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-1313-6498
John F FraserCritical Care Research Group, University of Queensland and Adult Intensive Care Service, Prince Charles Hospital Brisbane, QLD, Australia.
COVID-19 Critical Care Consortium (COVID Critical)

Funding

CLots and Oxygen in Va-ExtracorpoReal membrane oxygenation (CLOVER) studyK23HL157610 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Sung-Min Cho · 2022 to 2026
$797k
Pediatric ECMO Anticoagulation Collaborative (PEACE) ConsensusR13HD104432 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI ALEXANDER, PETA-MAREE ANN, MUSZYNSKI, JENNIFER · 2021 to 2021
$75k
FDA HHS U01 FD004979FDA HHS U01 FD005978Gates Foundation INV-034765NHLBI NIH HHS K23 HL157610NICHD NIH HHS R13 HD104432
6 · The paper itself

Abstract

ObjectiveThe outcomes of COVID-19 patients on venovenous extracorporeal membrane oxygenation (VV-ECMO) varied. We aim to investigate the variability concerning location and timeframe. We conducted a retrospective analysis of data from 351 institutions in 53 countries. The primary outcome was survival to hospital discharge or death up to 90 days from ECMO start. The associations between calendar time (month and year) of ECMO initiation and the primary outcome were examined by Cox regression modeling. Multivariable survival analyses were adjusted for the time of ECMO start, age, body mass index, APACHE II, SOFA, and the duration of mechanical ventilation before ECMO.Results1060 adult COVID-19 patients enrolled in the COVID-19 Critical Care Consortium (COVID Critical) international registry and required VV-ECMO support. The study period is from January 2020 to December 2021. The median age was 51 years old, and 70% were male patients. Most patients were from Europe (39.3%) and North America (37.4%). The in-hospital mortality of the entire cohort was 47.12%. In North America and Europe, there was an increased probability of death from May 2020 through February 2021. Latin America showed a steady rate of survival until late in the study. South Asia, the Middle East, and Africa showed an increased chance of mortality around May 2020. In the Asian-Pacific region, after February 2021, there was an increased probability of death. The time of ECMO initiation and advanced patient age were associated with increased mortality.ConclusionVariability in the outcomes of COVID-19 patients on VV-ECMO existed within different regions. This variability reflects the differences in resources, policies, patient selection, management, and possibly COVID-19 virus subtypes. Our findings might help guide global response in the future by early adoption of patient selection protocols, worldwide policies, and delivery of resources.

Indexed as

COVID-19Extracorporeal Membrane OxygenationSARS-CoV-2AdultAgedFemaleHospital MortalityHumansMaleMiddle AgedPandemicsRegistriesRetrospective StudiesCOVID-19extracorporeal membrane oxygenation(MeSH terms): severe acute respiratory syndrome-related coronavirusvenovenous extracorporeal membrane oxygenation

Identifiers

PMID39047075
PMCPMC11757800

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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.