What question did this study set out to answer?

This research aims to assess the relationship between hospital ECMO volume and mortality rates across different age groups.

February 19, 2015American Journal of Respiratory and Critical Care Medicine

Association of Hospital-Level Volume of Extracorporeal Membrane Oxygenation Cases and Mortality. Analysis of the Extracorporeal Life Support Organization Registry

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Authors

RBRyan P. BarbaroHeart Failure & Transplant FOFolafoluwa O. OdetolaUniversity of Michigan KKKelley M. KidwellUniversity of Michigan

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Implication

Retrospective analysis demonstrates higher ECMO volumes correlate with lower mortality rates in neonates and adults, suggesting hospital capacity impacts outcomes.

Key Points

This research aims to assess the relationship between hospital ECMO volume and mortality rates across different age groups.
Retrospective analysis of the Extracorporeal Life Support Organization Registry from 1989 to 2013.
Patients categorized into neonates, pediatrics, and adults based on age groups.
Multivariable hierarchical logistic regression modeling used to adjust for case-mix and hospital-level variance.
Higher ECMO volumes associated with lower odds of mortality in neonates and adults; adjusted odds ratio for adults over 30 cases was 0.61 (95% CI 0.46-0.80).
Pediatric cases showed no significant volume-mortality association.
From 2008-2013, the volume-outcome association remained significant only for adult patients.

Cite This Study

Barbaro et al. (2015) studied this question.

synapsesocial.com/papers/6a34ce8befeb096822ff95de https://doi.org/10.1164/rccm.201409-1634oc

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Implication

Retrospective analysis demonstrates higher ECMO volumes correlate with lower mortality rates in neonates and adults, suggesting hospital capacity impacts outcomes.

Association of Hospital-Level Volume of Extracorporeal Membrane Oxygenation Cases and Mortality. Analysis of the Extracorporeal Life Support Organization Registry

Discussion

Member takes

Implication

Key Points

Cite This Study

Association of Hospital-Level Volume of Extracorporeal Membrane Oxygenation Cases and Mortality. Analysis of the Extracorporeal Life Support Organization Registry

Discussion

Member takes

Implication

Key Points

Cite This Study

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