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Extracorporeal Life Support Organization Registry International Report 2022: 100,000 Survivors
Joseph E Tonna1,2, Philip S Boonstra3, Graeme MacLaren4
1From the Division of Cardiothoracic Surgery, Department of Surgery, University of Utah Health, Salt Lake City, Utah.
ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|January 5, 2024
Summary
The ELSO Registry Report details 154,568 extracorporeal membrane oxygenation (ECMO) cases from 2009-2022, showing increased adult ECMO use and varied survival rates by patient group. This data aids centers in comparing outcomes and improving care strategies.
Area of Science:
- Cardiovascular Sciences
- Critical Care Medicine
- Pediatric Medicine
Background:
- The Extracorporeal Life Support Organization (ELSO) Registry is the largest global database for extracorporeal membrane oxygenation (ECMO).
- This report analyzes ECMO program characteristics, care processes, and outcomes from 2009 to 2022.
Purpose of the Study:
- To describe ECMO center characteristics, care processes, and patient outcomes using the ELSO Registry data.
- To analyze trends in ECMO utilization, adjunctive therapies, complications, and survival rates across different age groups.
Main Methods:
- Data from 154,568 ECMO runs submitted to the ELSO Registry between 2009 and 2022 were analyzed.
- Descriptive statistics (counts, percentages, medians, IQRs) were used to present data by year, patient group (neonates, children, adults), and support mode.
- Complications were reported per 1,000 ECMO hours.
Main Results:
- Adult ECMO runs per center increased significantly from 2009 to 2022, while neonatal and pediatric runs decreased.
- Prone positioning use in adults increased during the COVID-19 pandemic (15% in 2019 to 44% in 2021).
- Survival to discharge was highest for neonatal respiratory support (68.5%) and lowest for adult ECPR (29.5%).
Conclusions:
- The ELSO Registry provides valuable data for centers to benchmark outcomes and refine ECMO strategies.
- Continued registry development is crucial for enhancing its utility for patient care and center performance improvement.
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