Evidence map›Paper›PMID 40192832›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Evaluating factors associated with the use of extracorporeal membrane oxygenation in major trauma - an analysis of the TraumaRegister DGU

Maximilian Feth, Philipp M Lepper, Christine Eimer, Andreas K Bauer, Ralf Muellenbach, Jonas Ajouri, Matthias Ring, Gerhard Achatz, Jonathan Schober, Rolf Lefering and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. 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

12 authors.

Maximilian FethDepartment of Anesthesiology, Critical Care, Emergency and Pain Medicine, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany. Maximilian.feth@uni-ulm.de.
Philipp M LepperDepartment of Internal Medicine, Pulmonology and Critical Care, University Hospital of Bielefeld, Bielefeld, Germany.
Christine EimerDepartment of Anesthesiology and Critical Care, University Medical Center Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Andreas K BauerDepartment of Anesthesiology, Critical Care, Emergency and Pain Medicine, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.
Ralf MuellenbachDepartment of Anesthesiology and Critical Care, ECMO-Center, Klinikum Kassel, Kassel, Germany.
Jonas AjouriDepartment of Anesthesiology and Critical Care, ECMO-Center, Klinikum Kassel, Kassel, Germany.
Matthias RingDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, German Armed Forces Hospital Ulm, Ulm, Germany.
Gerhard AchatzDepartment for Trauma Surgery and Orthopaedics, Reconstructive and Septic Surgery, Sportstraumatology, German Armed Forces Hospital Ulm, Ulm, Germany.
Jonathan SchoberDepartment of Anesthesiology, Critical Care, Emergency and Pain Medicine, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), University Witten-Herdecke, Cologne, Germany.
Bjoern HossfeldDepartment of Anesthesiology, Critical Care, Emergency and Pain Medicine, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.
Martin KullaDepartment of Anesthesiology, Critical Care, Emergency and Pain Medicine, German Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is increasing evidence that use of ECMO is beneficial in major trauma patients with refractory organ failure. Hence, increased numbers of ECMO support following major trauma are reported. We set out to determine the use of ECMO among major trauma patients submitted to the TraumaRegister DGUr

methodsThe TraumaRegister DGU

results410/ 22,548 individuals (1.8%) received ECMO support. Survival among ECMO patients was 46.1%. At discharge, good functional outcome as indicated by a Glasgow outcome scale > 3 was observed for 97 ECMO patients (23.6%). Age > 65 (OR 95%-CI 1.90, 1.52-2.60), male sex (OR 1.49, 95%-CI 1.41-1.95), coagulopathy at admission to the emergency department (OR 2.37, 95%-CI 1.88-3.00), chest trauma (OR 2.12, 95%-CI 1.61-2.81), sepsis (OR 2.94, 95%-CI 1.93-2.97), as well as massive transfusion (OR 2.23, 95%-CI1.56-3.19) were associated with the use of ECMO following trauma.

conclusionIn the TraumaRegister DGU

Indexed as

Extracorporeal Membrane OxygenationTreatment OutcomeWounds and InjuriesAdultAgedFemaleHumansMaleMiddle AgedMultiple Organ FailureMultiple TraumaRoutinely Collected Health DataSurvivalCirculatory failureECMOExtracorporeal life supportMajor traumaRespiratory failure

Identifiers

PMID40192832
PMCPMC11976743

What OpenQuestion holds

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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.