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Outcomes in Cardiogenic Shock Patients with Extracorporeal Membrane Oxygenation Use: A Matched Cohort Study in Hospitals across the United States
Joint Authors
El Sibai, Rayan
Bachir, Rana
El Sayed, Mazen J.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
ECMO is increasingly used for patients with critical illnesses.
This study examines ECMO use in patients with cardiogenic shock in US hospitals and associated outcomes (mortality, hospital length of stay, and total hospital charges).
Methods.
A matched cohort retrospective study was conducted using the 2013 Nationwide Emergency Department Sample.
Cardiogenic shock visits were matched (1 : 1) and compared based on ECMO use.
Results.
Patients with ECMO (N=802) were compared to patients without ECMO (N=805).
Mortality was higher in the ECMO group (48.9% versus 4.0%, p < 0.001).
Visits with ECMO use also had higher average hospital charges ($580,065.8 versus $156,436.5, p < 0.001) and average hospital LOS (21.3 versus 11.6 days, p < 0.001).
After adjusting for confounders, mortality (OR = 8.52 (95% CI: 2.84–25.58)) and charges (OR = 1.03 (95% CI: 1.02–1.05)) remained higher in the ECMO group, while LOS was similar (OR = 1.01 (95% CI: 0.99–1.02)).
Conclusions.
Patients with cardiogenic shock who underwent ECMO had increased mortality and higher cost of care without significant increase in LOS when compared to patients with cardiogenic shock without ECMO use.
Prospective evaluation of this observed association is needed to improve outcomes and resources’ utilization further.
American Psychological Association (APA)
El Sibai, Rayan& Bachir, Rana& El Sayed, Mazen J.. 2018. Outcomes in Cardiogenic Shock Patients with Extracorporeal Membrane Oxygenation Use: A Matched Cohort Study in Hospitals across the United States. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125046
Modern Language Association (MLA)
El Sibai, Rayan…[et al.]. Outcomes in Cardiogenic Shock Patients with Extracorporeal Membrane Oxygenation Use: A Matched Cohort Study in Hospitals across the United States. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1125046
American Medical Association (AMA)
El Sibai, Rayan& Bachir, Rana& El Sayed, Mazen J.. Outcomes in Cardiogenic Shock Patients with Extracorporeal Membrane Oxygenation Use: A Matched Cohort Study in Hospitals across the United States. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125046
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125046