|Title:||Out-of-center extracorporeal membrane oxygenation for adult cardiogenic shock patients||Authors:||Huang S.-C.
|Issue Date:||2006||Journal Volume:||30||Journal Issue:||1||Start page/Pages:||24-28||Source:||Artificial Organs||Abstract:||
Patients with cardiogenic shock refractory to conventional management require advanced mechanical circulatory support such as extracorporeal membrane oxygenation (ECMO). In hospitals lacking ECMO facilities, interhospital transportation is necessary for further patient management. Thirty-one adult cardiac patients, who were transported to our hospital by our ECMO transport team between January 1998 and July 2004, were enrolled in this study. The median transportation distance was 200 km (range: 3-300 km). During transportation, the ECMO circuit per se and the patients did not have complications. Of the 31 patients, 20 (64.2%) were weaned off ECMO or bridged to ventricular assist devices and 10 patients (32.1%) survived to discharge. Delayed transfer (>2 days) and high organ dysfunction score were associated with poor outcomes. The survival rate was similar to that of our in-hospital group (survival rate: 32.8%, n = 64). In conclusion, adult cardiogenic shock patients requiring interhospital ECMO transport had a reasonable chance of survival. ? 2006, Copyright the Authors.
|ISSN:||0160-564X||DOI:||10.1111/j.1525-1594.2006.00176.x||metadata.dc.subject.other:||Hospitals; Oxygenation; Cardiac patients; Cardiogenic shocks; Extracorporeal membrane oxygenation; Heart transplant; Interhospital transportation; Mechanical circulatory support; Patient management; Survival rate; Transportation distance; Ventricular assist device; Respiratory therapy; adult; aged; article; assisted circulation; cardiogenic shock; circulation; clinical article; controlled study; extracorporeal oxygenation; female; heart assist device; heart disease; hospital; human; interhospital cooperation; male; mechanical stimulation; outcome assessment; patient care; patient transport; priority journal; scoring system; survival rate
|Appears in Collections:||醫學系|
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