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June 1, 2026Critical Care ExplorationsOpen Access

Process Analysis of Neonatal and Pediatric Respiratory Extracorporeal Membrane Oxygenation Referrals: An 8-Year Experience at a High-Volume Center

Anna C. Dermatidis Tom W. Bayer Verena Varnholt Svetlana Hetjens Felix Dittgen Alba Perez-Ortiz Thomas Schaible

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Key Points

Evaluate the process of neonatal and pediatric ECMO referrals to optimize outcomes at a high-volume center.
Retrospective analysis of 348 ECMO referrals from 2015 to 2023
Comparison of transferred vs. non-transferred neonates and pediatric patients
Assessment of various patient parameters including VIS and OI
Transferred neonates had a higher transfer rate (41.8%) compared to pediatric patients (25.2%)
Significant association between VIS and ECMO initiation in transferred patients (p < 0.05)
Neonatal ECMO survival was 90.2%, exceeding the ELSO benchmark of 69%

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Implication

Retrospective analysis evaluates ECMO referrals and transfers in infants and children, suggesting improvements in decision-making processes.

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Cite This Study

Dermatidis et al. (2026) studied this question.

synapsesocial.com/papers/6a22688f763171746d547169 https://doi.org/10.1097/cce.0000000000001432

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