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Risk Factors of Mortality for Patients Receiving Venovenous Extracorporeal Membrane Oxygenation for COVID-19 Acute Respiratory Distress Syndrome
Surgical Infections ( IF 1.4 ) Pub Date : 2021-11-24 , DOI: 10.1089/sur.2021.114
Zachary R Bergman 1 , Jillian K Wothe 2 , Fatima S Alwan 2 , Arianna E Lofrano 3 , Kelly M Tointon 4 , Melissa Doucette 4 , John K Bohman 5 , Ramiro Saavedra-Romero 4 , Matthew E Prekker 3, 6 , Elizabeth R Lusczek 1 , Greg Beilman 1 , Melissa E Brunsvold 1
Affiliation  

Background: Venovenous extracorporeal membrane oxygenation (VV-ECMO) for select adults with severe acute respiratory distress syndrome (ARDS) cause by coronavirus disease 2019 (COVID-19) infection is a guideline-supported therapy with associated hospital survival of 62%–74%, similar to expected survival with VV-ECMO for other indications. However, ECMO is a resource-heavy intervention, and these patients often require long ECMO runs and prolonged intensive care unit (ICU) care. Identifying factors associated with mortality in VV-ECMO patients with COVID-19 infection can inform the evaluation of ECMO candidates as well as prognostication for those patients on prolonged VV-ECMO.

中文翻译:

接受静脉体外膜氧合治疗 COVID-19 急性呼吸窘迫综合征患者的死亡风险因素

背景:静脉体外膜肺氧合 (VV-ECMO) 用于治疗由 2019 年冠状病毒病 (COVID-19) 感染引起的严重急性呼吸窘迫综合征 (ARDS) 的选定成人是一种指南支持的治疗方法,相关住院生存率为 62%–74% ,与其他适应症的 VV-ECMO 预期生存期相似。然而,ECMO 是一种资源繁重的干预措施,这些患者通常需要长时间的 ECMO 运行和长时间的重症监护病房 (ICU) 护理。确定与 COVID-19 感染的 VV-ECMO 患者死亡率相关的因素可以为 ECMO 候选者的评估以及那些长期 VV-ECMO 患者的预后提供信息。
更新日期:2021-12-02
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