Evidence map›Paper›PMID 40758332›Full record

ArticleCritical care explorations2025

Outcomes of Venovenous Extracorporeal Membrane Oxygenation for Pneumocystis jirovecii Pneumonia: A Multicenter Retrospective Case Series.

Aaron M Pulsipher, Kyle Henry, Holenarasipur R Vikram, Michael B Gotway, Rodrigo Cartin-Ceba, Andrew H Limper, Augustine Lee, Bhavesh Patel, Brittany Miller, Emily R Thompson and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Critical care explorations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Aaron M PulsipherDepartment of Critical Care, Mayo Clinic, Phoenix, AZ.ORCID 0009-0000-8225-1361
Kyle HenryDepartment of Critical Care, Mayo Clinic, Phoenix, AZ.
Holenarasipur R VikramDivision of Infectious Diseases and Transplant Center, Mayo Clinic, Phoenix, AZ.
Michael B GotwayDivision of Cardiothoracic Radiology, Mayo Clinic, Phoenix, AZ.
Rodrigo Cartin-CebaDepartment of Critical Care, Mayo Clinic, Phoenix, AZ.
Andrew H LimperDivision of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN.
Augustine LeeDivision of Pulmonary and Allergy, Mayo Clinic, Jacksonville, FL.
Bhavesh PatelDepartment of Critical Care, Mayo Clinic, Phoenix, AZ.
Brittany MillerDepartment of Critical Care Nursing, Mayo Clinic, Phoenix, AZ.
Emily R ThompsonDivision of Clinical Trials and Biostatistics, Mayo Clinic, Phoenix, AZ.
Ayan SenDepartment of Critical Care, Mayo Clinic, Phoenix, AZ.
Kealy HamDepartment of Critical Care, Mayo Clinic, Phoenix, AZ.

Funding

Pneumocystis: Macrophage & Epithelial ActivationR01HL062150 · NHLBI · MAYO CLINIC ROCHESTER · PI ANDREW H LIMPER · 1998 to 2026
$9.2M
The Role of the EphA2 Receptor Kinase Pathway in Pneumocystis Pneumonia (PCP)R21AI181542 · NIAID · MAYO CLINIC ROCHESTER · PI LIMPER, ANDREW H · 2024 to 2025
$438k
NHLBI NIH HHS R01 HL062150NIAID NIH HHS R21 AI181542
6 · The paper itself

Abstract

Pneumocystis jirovecii pneumonia (PCP) is a life-threatening opportunistic infection increasingly recognized among non-HIV immunocompromised patients. In severe cases progressing to acute respiratory distress syndrome, venovenous extracorporeal membrane oxygenation (VV-ECMO) may serve as a rescue therapy. We conducted a retrospective multicenter review of 10 adult patients with proven or probable PCP who received VV-ECMO between 2017 and 2024. Seven of 10 patients survived to discharge, including all three HIV-positive patients and 4 of 7 non-HIV immunocompromised patients. The mean Respiratory ECMO Survival Prediction Score was -1.5, corresponding to a predicted survival of 33-57%. Multiorgan dysfunction was common, including renal failure requiring dialysis in 6 of 10 patients, need for neuromuscular blockade in 8 of 10, and pulmonary vasodilator use in 8 of 10. Despite high acuity and prolonged ECMO support, outcomes were favorable. These findings suggest that VV-ECMO may be a viable salvage therapy for select patients with severe PCP, including those without HIV.

Indexed as

Extracorporeal Membrane OxygenationPneumonia, PneumocystisAdultAgedFemaleHumansImmunocompromised HostMaleMiddle AgedPneumocystis cariniiRespiratory Distress SyndromeRetrospective StudiesTreatment Outcomeextracorporeal membrane oxygenationimmunocompromised hostmycosesrespiratory distress syndrome

Identifiers

PMID40758332
PMCPMC12324008

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Registered trials

None linked

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.