由于资源限制,体外膜氧化的停止
Rodrigo Cardoso Cavalcante1, Marissa Brunetti2, Jo-Ching Hsiung3
1From the Division of Cardiology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
概括
由于资源限制 (EDRL) 导致体外膜氧化停止是罕见的,但在全球范围内越来越多,特别是在COVID-19后. 率因地区而异,拉丁美洲和西南亚/非洲的生存率较低.
科学领域:
- 关键护理医学 关键护理医学
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
背景情况:
- 身体外膜氧化 (ECMO) 是一种用于严重心肺衰竭的生命支持技术.
- 资源限制可能需要停止ECMO,这是一个罕见但关键的事件.
- 了解ECMO因资源限制 (EDRL) 停止的流行病学对于全球健康公平至关重要.
研究的目的:
- 分析EDRL的全球发病率和趋势.
- 为了比较不同地理区域的EDRL率.
- 为了评估COVID-19大流行之前和之后EDRL的变化.
主要方法:
- 对2013-2023年国际ECMO中心数据的回顾性队列分析.
- 包括所有儿科和成人ECMO运行.
- 对EDRL事件,诊断,存活率和区域差异的分析.
主要成果:
- 在161,851次ECMO运行中,312次 (0.19%) 的运行导致EDRL.
- 在COVID-19后,EDRL显著增加 (1.44到2.44每1000次运行).
- 欧洲和北美显示出不成比例的增加;拉丁美洲和西南亚/非洲的EDRL比例高,生存率低.
结论:
- 在ECMO护理中,EDRL是一个罕见但日益关注的问题.
- 在EDRL率和结果方面存在显著的区域差异.
- COVID-19大流行加剧了EDRL,突出了重症监护中的资源配置挑战.
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