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Germany leads in extracorporeal membrane oxygenation (ECMO) use due to reimbursement policies. A new web-based dashboard visualizes ECMO data, aiding resource allocation and pandemic preparedness.

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Area of Science:

  • Critical Care Medicine
  • Health Services Research
  • Public Health Data Science

Background:

  • Germany exhibits the highest per capita use of extracorporeal membrane oxygenation (ECMO) globally, driven by comprehensive reimbursement policies, yet its benefits are debated.
  • Existing public ECMO data is unstructured and inaccessible, hindering critical analysis by healthcare professionals, researchers, and policymakers.
  • The absence of uniform ECMO allocation policies presents ethical challenges, particularly during health crises like respiratory virus outbreaks.

Purpose of the Study:

  • To develop an accessible, web-based platform, the ECMO Dashboard, for visualizing and analyzing retrospective ECMO utilization data in Germany.
  • To create a robust dataset merging patient-level and hospital-level information for detailed ECMO use analysis and demand forecasting.
  • To provide granular insights into ECMO support patterns at national, district, and hospital levels to inform resource allocation and decision-making.

Main Methods:

  • Retrospective extraction and processing of adult and pediatric ECMO support data from publicly available German reimbursement records and hospital quality reports.
  • Development of a web-based dashboard utilizing Open-Source software, integrating patient-level and hospital-level data.
  • Creation of interactive maps, charts, and tables to present ECMO utilization patterns across 413 German county and city districts.

Main Results:

  • The ECMO Dashboard (https://www.ecmo-dash.de/) offers a visual platform detailing retrospective ECMO utilization across Germany.
  • The tool highlights regional ECMO surplus and deficit, indicating patient transfer patterns between districts.
  • Data analysis reveals high prevalence of ECMO support and spatial variations in its application.

Conclusions:

  • Accessible public data, visualized through platforms like the ECMO Dashboard, can support evidence-informed resource management for critical care infrastructure.
  • The dashboard provides vital information for transparent decision-making regarding ECMO resource allocation.
  • Improved data accessibility and analysis are crucial for enhancing critical care quality and preparedness for future pandemics.