Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure?

Jacob T. Gutsche, Todd A. Miano, William Vernick, Jesse Raiten, Christian Bermudez, Prashant Vallabjoysula, Karianna Milewski, Wilson Szeto, Meghan Lane Fall, Matthew L. Williams, Prakash Patel, Mark E. Mikkelsen, Cornel Chiu, Harish Ramakrishna, Jeremy Canon, John G. Augoustides

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To understand if mobile extracorporeal membrane oxygenation reduces patient mortality during and after transport of patients requiring extracorporeal membrane oxygenation for acute respiratory distress syndrome. Design: Retrospective chart review. Setting: University affiliated tertiary care hospitals. Participants: Seventy-seven patients. Interventions: Introduction of a mobile extracorporeal membrane oxygenation (ECMO) program designed to facilitate the implementation of ECMO at outside hospitals in patients too unstable for transport for ECMO. Measurements and Main Results: The 28-day in-hospital mortality was significantly lower in the post-mobile group (12/51 [23.5%] v 12/24 [50%], adjusted risk difference: 28.6%, [95% CI 4.7-52.5, p = 0.011]). Conclusions: These findings suggest that patients with severe acute respiratory failure who require transport to a referral center for extracorporeal life support may benefit from the availability of a mobile extracorporeal life support team.

Original languageEnglish (US)
JournalJournal of Cardiothoracic and Vascular Anesthesia
DOIs
StateAccepted/In press - Jan 1 2017

Fingerprint

Extracorporeal Membrane Oxygenation
Respiratory Insufficiency
Mortality
Therapeutics
Adult Respiratory Distress Syndrome
Tertiary Healthcare
Hospital Mortality
Tertiary Care Centers
Referral and Consultation

Keywords

  • Acute respiratory distress syndrome
  • ARDS
  • ECLS
  • ECMO
  • Extracorporeal life support
  • Extracorporeal membrane oxygenation
  • Mobile ECMO
  • Mobile life support
  • Transport

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

Cite this

Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure? / Gutsche, Jacob T.; Miano, Todd A.; Vernick, William; Raiten, Jesse; Bermudez, Christian; Vallabjoysula, Prashant; Milewski, Karianna; Szeto, Wilson; Fall, Meghan Lane; Williams, Matthew L.; Patel, Prakash; Mikkelsen, Mark E.; Chiu, Cornel; Ramakrishna, Harish; Canon, Jeremy; Augoustides, John G.

In: Journal of Cardiothoracic and Vascular Anesthesia, 01.01.2017.

Research output: Contribution to journalArticle

Gutsche, JT, Miano, TA, Vernick, W, Raiten, J, Bermudez, C, Vallabjoysula, P, Milewski, K, Szeto, W, Fall, ML, Williams, ML, Patel, P, Mikkelsen, ME, Chiu, C, Ramakrishna, H, Canon, J & Augoustides, JG 2017, 'Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure?', Journal of Cardiothoracic and Vascular Anesthesia. https://doi.org/10.1053/j.jvca.2017.08.050
Gutsche, Jacob T. ; Miano, Todd A. ; Vernick, William ; Raiten, Jesse ; Bermudez, Christian ; Vallabjoysula, Prashant ; Milewski, Karianna ; Szeto, Wilson ; Fall, Meghan Lane ; Williams, Matthew L. ; Patel, Prakash ; Mikkelsen, Mark E. ; Chiu, Cornel ; Ramakrishna, Harish ; Canon, Jeremy ; Augoustides, John G. / Does a Mobile ECLS Program Reduce Mortality for Patients Transported for ECLS Therapy for Severe Acute Respiratory Failure?. In: Journal of Cardiothoracic and Vascular Anesthesia. 2017.
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