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10.1111/jocs.14583

http://scihub22266oqcxt.onion/10.1111/jocs.14583
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32333431!7267409!32333431
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suck abstract from ncbi


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pmid32333431      J+Card+Surg 2020 ; 35 (7): 1410-1413
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  • The role of extracorporeal life support for patients with COVID-19: Preliminary results from a statewide experience #MMPMID32333431
  • Sultan I; Habertheuer A; Usman AA; Kilic A; Gnall E; Friscia ME; Zubkus D; Hirose H; Sanchez P; Okusanya O; Szeto WY; Gutsche J
  • J Card Surg 2020[Jul]; 35 (7): 1410-1413 PMID32333431show ga
  • OBJECTIVE: There is a paucity of clinical data on critically ill patients with COVID-19 requiring extracorporeal life support. METHODS: A statewide multi-institutional collaborative for COVID-19 patients was utilized to obtain clinical data on the first 10 critically ill COVID-19 patients who required extracorporeal membrane oxygenation (ECMO). RESULTS: Of the first 10 patients that required ECMO for COVID-19, the age ranged from 31 to 62 years with the majority (70%) being men. Seven (70%) had comorbidities. The majority (80%) of patients had known sick contact and exposure to COVID-19 positive patients or traveled to pandemic areas inside the United States within the 2 weeks before symptom onset. None of the patients were healthcare workers. The most common symptoms leading to the presentation were high fever >/=103 degrees F (90%), cough (80%) and dyspnea (70%), followed by fatigue and gastrointestinal symptoms (both 30%), myalgia, loss of taste, pleuritic chest pain, and confusion (all 10%). All patients had bilateral infiltrates on chest X-rays suggestive of interstitial viral pneumonia. All patients were cannulated in the venovenous configuration. Two (20%) patients were successfully liberated from ECMO support after 7 and 10 days, respectively, and one (10%) patient is currently on a weaning course. One patient (10%) died after 9 days on ECMO from multiorgan dysfunction. CONCLUSIONS: These preliminary multi-institutional data from a statewide collaborative offer insight into the clinical characteristics of the first 10 patients requiring ECMO for COVID-19 and their initial clinical course. Greater morbidity and mortality is likely to be seen in these critically ill patients with longer follow-up.
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |Cause of Death[MESH]
  • |Cohort Studies[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology/*therapy[MESH]
  • |Critical Illness/mortality/*therapy[MESH]
  • |Extracorporeal Membrane Oxygenation/*methods/mortality[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Hospital Mortality/trends[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology/*therapy[MESH]
  • |Respiratory Distress Syndrome/mortality/*therapy/virology[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Assessment[MESH]
  • |Treatment Outcome[MESH]


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