Extracorporeal Life Support Registry Report 1995

Area of Science:

• Critical Care Medicine
• Pediatric Critical Care
• Neonatal Intensive Care

Background:

• The Extracorporeal Life Support Organization (ELSO) Registry collects data on patients undergoing extracorporeal life support (ELS).
• The 1995 report details outcomes for 14,000 patients treated with ELS.
• Respiratory failure is a primary indication for ELS across various age groups.

Purpose of the Study:

• To present the findings of the 1995 ELSO Registry Report.
• To analyze survival rates and trends in patients treated with extracorporeal life support.
• To highlight outcomes in specific patient populations, including neonates, pediatric, and adult patients with respiratory failure.

Main Methods:

• Data compilation from the ELSO Registry.
• Analysis of patient demographics, indications for ELS, and survival outcomes.
• Stratification of results by age group (newborn, pediatric, adult) and primary diagnosis (respiratory failure).

Main Results:

• A total of 14,000 patients treated with ELS were reported.
• Newborn infants with respiratory failure demonstrated a high survival rate of 80% (11,000 patients).
• Survival rates for pediatric and adult respiratory failure patients were 53% and 46%, respectively.
• The number of annual ELS cases plateaued between 1500-1800 per year around 1993.
• A gradual improvement in survival rates was observed in pediatric and adult respiratory cases.

Conclusions:

• Extracorporeal life support is a critical intervention for severe respiratory failure in neonates, with excellent survival outcomes.
• While survival rates for pediatric and adult respiratory failure patients are lower, there is evidence of gradual improvement.
• The ELSO Registry provides valuable data for monitoring trends and improving outcomes in ELS therapy.