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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Characteristics, outcomes, and 30-day readmissions following pediatric extracorporeal membrane oxygenation in the United States: A Nationwide Readmissions Database study.
TL;DR: In this paper , the authors evaluated the characteristics, outcomes, and readmissions rates for pediatric extracorporeal membrane oxygenation (ECMO) in the United States, and they did not observe a meaningful trend for the yearly survival rates over the study period, and over one-sixth of survivors were readmitted within 30-days.
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To Cannulate or Not to Cannulate: Are We Asking the Wrong Question?
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Chronic Lung Disease Following Neonatal Extracorporeal Membrane Oxygenation: A Single-Center Experience
Alba Perez Ortiz,Anna K. Glauner,Felix Dittgen,Thalia Doniga,Svetlana Hetjens,Thomas Schaible,Neysan Rafat +6 more
TL;DR: The incidence of CLD after neonatal ECMO is substantial and risk factors for its development include CDH as an underlying condition, the necessity for early initiation of ECMO, and the need for ECMO over 7 days.
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Neonatal and pediatric ECMO organization in France: A national survey.
TL;DR: Well-organized networks for the most severe neonates and children were not identified in France, and of the centers reporting the highest case volumes, four offered mobile ECMO abilities.
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Evaluation of Severity of Illness Scores in the Pediatric ECMO Population.
Venessa L. Pinto,Danielle Guffey,Laura Loftis,Melania M. Bembea,Philip C. Spinella,Sheila J. Hanson +5 more
TL;DR: In this paper, the authors used Logistic regression and Receiver Operating Characteristics (ROC) curves to calculate the area under the curve (AUC) to evaluate association of mortality with the scores.
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