Pediatric Extracorporeal Life Support Organization Registry International Report 2016.
Ryan P. Barbaro,Matthew L. Paden,Yigit S. Guner,Lakshmi Raman,Lindsay M. Ryerson,Peta M. A. Alexander,Viviane G. Nasr,Melania M. Bembea,Peter Rycus,Ravi R. Thiagarajan +9 more
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TLDR
Adverse events including neurologic events were common during ECLS, a fact that underscores the opportunity and need to promote quality improvement work.Abstract:
The purpose of this report is to describe the international growth, outcomes, complications, and technology used in pediatric extracorporeal life support (ECLS) from 2009 to 2015 as reported by participating centers in the Extracorporeal Life Support Organization (ELSO). To date, there are 59,969 children who have received ECLS in the ELSO Registry; among those, 21,907 received ECLS since 2009 with an overall survival to hospital discharge rate of 61%. In 2009, 2,409 ECLS cases were performed at 157 centers. By 2015, that number grew to 2,992 cases in 227 centers, reflecting a 24% increase in patients and 55% growth in centers. ECLS delivered to neonates (0-28 days) for respiratory support was the largest subcategory of ECLS among children <18-years old. Overall, 48% of ECLS was delivered for respiratory support and 52% was for cardiac support or extracorporeal life support to support cardiopulmonary resuscitation (ECPR). During the study period, over half of children were supported on ECLS with centrifugal pumps (51%) and polymethylpentene oxygenators (52%). Adverse events including neurologic events were common during ECLS, a fact that underscores the opportunity and need to promote quality improvement work.read more
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Trends in Acute Myocarditis Related Pediatric Hospitalizations in the United States, 2007-2016.
Rhythm Vasudeva,Parth Bhatt,Christian Lilje,Pooja Desai,Jason K. Amponsah,Jacob Umscheid,Narendrasinh Parmar,Neel S. Bhatt,Reshmi Adupa,Sukrut Pagad,Prerna Agrawal,Keyur Donda,Fredrick Dapaah-Siakwan,Priyank J Yagnik,Priyank J Yagnik +14 more
TL;DR: In this paper, the authors explored trends in pediatric hospitalizations for acute myocarditis from 2007 to 2016 in the United States (US) and found that the incidence increased from 0.7 to 0.9 per 100,000 children.
Journal ArticleDOI
Extracorporeal Cardiopulmonary Resuscitation in Children of Asia Pacific: A Retrospective Analysis of Extracorporeal Life Support Organization Registry
TL;DR: Investigation of trends in survival and demographic details for children with ECPR in Asia Pacific recorded in the Extracorporeal Life Support Organization (ELSO) registry from 1999 to 2016 and multiple logistic regression analysis of ECMO complications showed that disseminated intravascular coagulation, myocardial stunning, and neurological complications were independently associated with increased odds of hospital mortality.
Journal ArticleDOI
Variation across centers in standardized mortality ratios for congenital diaphragmatic hernia receiving extracorporeal life support.
Yigit S. Guner,Matthew T. Harting,Tim Jancelewicz,Peter T. Yu,Matteo Di Nardo,Danh V. Nguyen +5 more
TL;DR: In this article , the degree of variation across centers by calculating center-specific standardized mortality ratios (SMRs) for infants with congenital diaphragmatic hernia (CDH) requiring extracorporeal life support (ECLS).
Journal ArticleDOI
Severe Adenovirus Pneumonia Requiring Extracorporeal Membrane Oxygenation Support in Immunocompetent Children.
TL;DR: Pediatric patients with adenovirus pneumonia and ECMO supports in the authors' hospital from February 2018 to May 2019 were retrospectively analyzed and suggested that ECMO support for rescue ventilation may be considered when symptoms deteriorated in adenvirus pneumonia patients, and may improve outcome.
Journal ArticleDOI
Seizures in Children with Cardiac Disease on Extracorporeal Membrane Oxygenation.
TL;DR: In this article, a retrospective cohort study of consecutive pediatric patients on ECMO for congenital or acquired cardiac disease between 2014 and 2018 at a tertiary care pediatric hospital was conducted.
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