Evidence map›Paper›PMID 41233733›Full record

ArticleBMC anesthesiology2025

ECMO management in cardiogenic shock-specialized versus non-cardiogenic shock-specialized centers: a registry-based analysis.

Chenglong Li, Xinrui Yu, Liangshan Wang, Xiaomeng Wang, Haixiu Xie, Shuai Zhang, Yiwen Wang, Sheng Zhang, Jianling Liu, Andong Lu and 12 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC anesthesiology, 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

22 authors.

Chenglong Li *Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Xinrui Yu *Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Liangshan WangCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Xiaomeng WangCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Haixiu XieCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Shuai ZhangCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Yiwen WangCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Sheng ZhangDepartment of Critical Care Medicine, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China.
Jianling LiuICU, The Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Andong LuHeart Center, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Yan LiuDepartment of Cardiac Surgery, Wuhan Asia Heart Hospital, Wuhan, Hubei, China.
Yue HuangICU, First Affiliated Hospital of Anhui Medical University, Hefei, China.
Liuer ZuoDepartment of ICU, Shunde Hospital, Southern Medical University, Foshan, Guangdong, China.
Liwen LyuDepartment of Emergency, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Man HuangDepartment of General Intensive Care Unit, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Ming JiaCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Xing HaoCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Feng YangCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China.
Zhongtao DuCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China. zhongtaodu@126.com.
Hong WangCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China. 914286855@qq.com.
Xiaotong HouCenter for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Rd, Chaoyang District, Beijing, 100029, China. xt.hou@ccmu.edu.cn.
Chinese Society of Extracorporeal Life Support (CSECLS) investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the impact of center specialization on extracorporeal membrane oxygenation (ECMO) management in cardiogenic shock (CS) remain limited. This study aimed to evaluate differences in outcomes and management of patients with CS receiving ECMO in CS-specialized versus non-CS-specialized centers.

methodsThis registry-based study used data from the Chinese Society of Extracorporeal Life Support (CSECLS) registry. Adult patients diagnosed with CS and treated with ECMO were included. ECMO centers were categorized as CS-specialized or non-specialized based on the responsible department. Propensity score matching (PSM) was conducted to balance patient characteristics and center experience. The primary endpoint was in-hospital mortality.

resultsA total of 1,415 adult patients were included from January 1, 2017, to December 31, 2021 (523 in CS-specialized centers, 892 in non-CS-specialized centers). The mean age was 53.2 ± 16.1 years, and 30.3% of patients were female. In-hospital mortality was lower in CS-specialized centers both before (P = 0.001) and after adjustment (P = 0.035). Patients in CS-specialized centers more frequently received intra-aortic balloon pumps (38.5% vs. 30.4%; P = 0.009), and were less likely to require mechanical ventilation (80.6% vs. 90.7%; P < 0.001) or continuous renal replacement therapy (42.7% vs. 49.8%; P = 0.030) than those in non-CS-specialized centers.

conclusionsTreatment in CS-specialized centers was independently associated with lower in-hospital mortality among patients receiving ECMO for circulatory support, even after adjusting for both patient-level characteristics and center-level experience.

Indexed as

Extracorporeal Membrane OxygenationShock, CardiogenicAdultAgedChinaFemaleHospital MortalityHumansIntra-Aortic Balloon PumpingMaleMiddle AgedRegistriesCardiogenic shockCritical care outcomesExtracorporeal membrane oxygenationIntra-aortic balloon pumpMechanical circulatory supportSpecialized ECMO center

Identifiers

PMID41233733
PMCPMC12613356

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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.