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Extracorporeal life support 1997

S A Conrad1, P T Rycus

  • 1Louisiana State University Medical Center, Shreveport 71130-3932, USA.

ASAIO Journal (American Society for Artificial Internal Organs : 1992)
|November 27, 1998
PubMed
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Extracorporeal life support (ECLS) data from over 17,000 patients in 1997 show high survival for neonates but increasing use and improving survival for pediatric and adult respiratory and cardiac failure cases. The ELSO registry was re-engineered for better data management.

Area of Science:

  • Critical Care Medicine
  • Pediatric Cardiology
  • Neonatology

Background:

  • The Extracorporeal Life Support Organization (ELSO) Registry collects international data on patients receiving extracorporeal life support (ECLS).
  • In 1997, the registry contained data from over 17,000 patients.
  • Neonatal respiratory failure represented the largest patient group, accounting for 75% of cases.

Purpose of the Study:

  • To present the 1997 ELSO Registry Report data.
  • To analyze trends in ECLS utilization and survival across different patient populations.
  • To describe the re-engineering of the ELSO registry for improved data management.

Main Methods:

  • Data submission to the ELSO Registry.
  • Analysis of patient demographics, diagnoses, and outcomes.

Related Experiment Videos

  • Description of database redesign, electronic data submission, and internet-based retrieval.

    • Main Results:

    • Neonatal respiratory failure cases (over 13,000) had an 80% survival rate.
    • Neonatal respiratory failure cases reported to the registry had been decreasing for 5 years.
    • Pediatric respiratory, pediatric cardiac, and adult respiratory failure cases showed increasing trends, with cumulative survival rates of 53%, 42%, and 47%, respectively.
    • Survival rates for pediatric and adult respiratory failure cases supported by ECLS demonstrated continuous improvement.

    Conclusions:

    • Extracorporeal life support remains a critical intervention for severe respiratory and cardiac failure across various age groups.
    • While neonatal ECLS is well-established, there is a growing application and improving outcomes in pediatric and adult populations.
    • The re-engineering of the ELSO registry enhances data quality and accessibility, supporting ongoing research and clinical practice improvements in ECLS.