Advanced

Paediatric ECMO at low-volume paediatric cardiac centres in the Nordic countries

Veien, M.; Lindberg, Lars LU ; Tynkkynen, P. and Ravn, H. B. (2015) In Acta Anaesthesiologica Scandinavica 59(3). p.337-345
Abstract
BackgroundExtracorporeal membrane oxygenation (ECMO) is a life-saving resource-intensive technology for patients with respiratory and/or circulatory failure. We aimed to evaluate outcome data from three Nordic paediatric centres comparing with data from the International Registry of the Extracorporeal Life Support Organization (ELSO) and selected high-volume single-centre studies. MethodsOne-hundred nineteen patients <19 years from 2002 to 2012 were enrolled. Data on demographics and outcome were collected using a standardised registration form. Outcome data were compared with the ELSO registry and high-volume single-centre studies. ResultsDemographics, indications and diagnosis were similar to the ELSO register. Survival after ECMO was... (More)
BackgroundExtracorporeal membrane oxygenation (ECMO) is a life-saving resource-intensive technology for patients with respiratory and/or circulatory failure. We aimed to evaluate outcome data from three Nordic paediatric centres comparing with data from the International Registry of the Extracorporeal Life Support Organization (ELSO) and selected high-volume single-centre studies. MethodsOne-hundred nineteen patients <19 years from 2002 to 2012 were enrolled. Data on demographics and outcome were collected using a standardised registration form. Outcome data were compared with the ELSO registry and high-volume single-centre studies. ResultsDemographics, indications and diagnosis were similar to the ELSO register. Survival after ECMO was similar to outcome data from the ELSO register, apart from paediatric cardiac ECMO, where a significantly better survival to discharge was seen in the Nordic centres (68% vs. 49%; P=0.03). Comparison with high-volume centres in the period after 2005 demonstrated a significantly better survival after cardiac ECMO in a single high-volume centre study, whereas four studies had significantly lower survival after cardiac ECMO. No significant difference was seen in children receiving respiratory ECMO in the Nordic centres and high-volume centres. ConclusionsSurvival after ECMO in three low-volume Nordic centres demonstrated comparable outcome data with ELSO data and data from high-volume centres. We believe regular quality assurance surveys, as the present study, should be performed in order to maintain excellent therapy within the individual ECMO centres. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Anaesthesiologica Scandinavica
volume
59
issue
3
pages
337 - 345
publisher
Wiley-Blackwell
external identifiers
  • wos:000349604000008
  • scopus:84922937035
ISSN
0001-5172
DOI
10.1111/aas.12460
language
English
LU publication?
yes
id
b9288d5e-4534-4175-bf07-c40e77c801eb (old id 5160096)
date added to LUP
2015-04-01 07:41:02
date last changed
2017-01-01 03:57:42
@article{b9288d5e-4534-4175-bf07-c40e77c801eb,
  abstract     = {BackgroundExtracorporeal membrane oxygenation (ECMO) is a life-saving resource-intensive technology for patients with respiratory and/or circulatory failure. We aimed to evaluate outcome data from three Nordic paediatric centres comparing with data from the International Registry of the Extracorporeal Life Support Organization (ELSO) and selected high-volume single-centre studies. MethodsOne-hundred nineteen patients &lt;19 years from 2002 to 2012 were enrolled. Data on demographics and outcome were collected using a standardised registration form. Outcome data were compared with the ELSO registry and high-volume single-centre studies. ResultsDemographics, indications and diagnosis were similar to the ELSO register. Survival after ECMO was similar to outcome data from the ELSO register, apart from paediatric cardiac ECMO, where a significantly better survival to discharge was seen in the Nordic centres (68% vs. 49%; P=0.03). Comparison with high-volume centres in the period after 2005 demonstrated a significantly better survival after cardiac ECMO in a single high-volume centre study, whereas four studies had significantly lower survival after cardiac ECMO. No significant difference was seen in children receiving respiratory ECMO in the Nordic centres and high-volume centres. ConclusionsSurvival after ECMO in three low-volume Nordic centres demonstrated comparable outcome data with ELSO data and data from high-volume centres. We believe regular quality assurance surveys, as the present study, should be performed in order to maintain excellent therapy within the individual ECMO centres.},
  author       = {Veien, M. and Lindberg, Lars and Tynkkynen, P. and Ravn, H. B.},
  issn         = {0001-5172},
  language     = {eng},
  number       = {3},
  pages        = {337--345},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Anaesthesiologica Scandinavica},
  title        = {Paediatric ECMO at low-volume paediatric cardiac centres in the Nordic countries},
  url          = {http://dx.doi.org/10.1111/aas.12460},
  volume       = {59},
  year         = {2015},
}