https://scholars.lib.ntu.edu.tw/handle/123456789/434088
標題: | Prognostic factors for adult patients receiving extracorporeal membrane oxygenation as mechanical circulatory support - A 14-year experience at a medical center | 作者: | Lan C. Tsai P.-R. YIH-SHARNG CHEN Ko W.-J. |
關鍵字: | Extracorporeal membrane oxygenation; Mechanical circulatory support; Prognostic factor | 公開日期: | 2010 | 卷: | 34 | 期: | 2 | 起(迄)頁: | E59-E64 | 來源出版物: | Artificial Organs | 摘要: | Extracorporeal membrane oxygenation (ECMO) is a resource-consuming and highly invasive treatment. There were 1100 ECMO cases at the National Taiwan University Hospital between August 1994 and November 2008. Of these, 607 were adults (>18 years old) who received ECMO as mechanical circulatory support. In this study, patient characteristics and complications during the ECMO course were evaluated for their correlation with prognosis. The following factors were significantly different between survivors and nonsurvivors: age, coronary artery disease, diabetes mellitus, brain death, stroke during ECMO, the need for dialysis during ECMO, pre-ECMO infection, hypoglycemia, acidosis, alkalosis, the need for a distal perfusion catheter, and the amount of red blood cells transfused. Six independent predictors of mortality were identified: age, stroke, the need for dialysis during ECMO, pre-ECMO infection, hypoglycemia, and alkalosis. Our institution has comparatively extensive experience with adult patients, which may be quite different from other medical centers with respect to distribution of patient age. The findings should lead to better utilization of ECMO for adult patients in the future. ? 2010, International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77149127734&doi=10.1111%2fj.1525-1594.2009.00909.x&partnerID=40&md5=291e347440100578f445142d43cdf8fe https://scholars.lib.ntu.edu.tw/handle/123456789/434088 |
ISSN: | 0160-564X | DOI: | 10.1111/j.1525-1594.2009.00909.x | SDG/關鍵字: | Diagnosis; Dialysis; Hospitals; Insulin; Oxygenation; Respiratory therapy; Adult patients; Coronary artery disease; Diabetes mellitus; Extracorporeal membrane oxygenation; Hypoglycaemia; Invasive treatment; Mechanical circulatory support; Medical center; National Taiwan University; Prognostic factors; Diseases; acidosis; adult; age distribution; aged; alkalosis; article; assisted circulation; brain death; comorbidity; coronary artery disease; correlation analysis; diabetes mellitus; dialysis; erythrocyte transfusion; extracorporeal circulation; extracorporeal oxygenation; female; gangrene; human; hyperglycemia; hypoglycemia; infection; kidney disease; major clinical study; male; mortality; neurologic disease; predictor variable; priority journal; prognosis; risk factor; seizure; stroke; survival rate |
顯示於: | 醫學系 |
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