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[China statistics of extracorporeal life support in 2018]

C L Li1, X T Hou1, F L Hei2

  • 1Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

Zhonghua Yi Xue Za Zhi
|July 4, 2019
PubMed

Insights

Extracorporeal life support (ECLS) saw significant growth in China in 2018, with more cases and centers. Larger ECLS centers demonstrated better survival rates, indicating potential for further development, especially for pediatric and neonatal patients.

Area of Science:

  • Critical Care Medicine
  • Cardiopulmonary Support
  • Health Services Research

Background:

  • Extracorporeal life support (ECLS) utilization is increasing globally.
  • Understanding the landscape of ECLS in China is crucial for resource allocation and quality improvement.
  • The Chinese Society of Extracorporeal Life Support (CSECLS) coordinates data collection.

Purpose of the Study:

  • To analyze the statistics of ECLS in China for the year 2018.
  • To identify trends in ECLS cases, centers, patient demographics, and survival rates.
  • To explore associations between ECLS activity, center volume, and regional economic factors.

Main Methods:

  • Data collected by CSECLS provincial coordinators in 2019.
  • Inclusion of ECLS cases, number of centers, patient indications, and in-hospital survival rates.
  • Statistical analysis of trends and correlations, including comparison with regional gross domestic product.

Main Results:

  • 3,923 ECLS cases reported by 260 centers in 2018, a notable increase from 2017.
  • Adults comprised the majority of cases (88.0%), with pediatric (9.7%) and neonatal (2.3%) patients also treated.
  • Centers with >20 cases/year showed superior survival rates (49.1% vs 44.0%).
  • ECLS cases and centers correlated positively with regional GDP.

Conclusions:

  • Significant growth in ECLS volume, centers, and scale observed in China during 2018.
  • ECLS activity is concentrated in economically developed regions.
  • China's ECLS practices align with international standards, with substantial potential for expansion, particularly for pediatric and neonatal care.

Keywords:
Data collectionExtracorporeal life supportExtracorporeal membrane oxygenation

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