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10.1111/aor.13865

http://scihub22266oqcxt.onion/10.1111/aor.13865
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33188714!7753485!33188714
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suck abstract from ncbi


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pmid33188714      Artif+Organs 2021 ; 45 (6): 593-601
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  • Outcome of acute respiratory distress syndrome requiring extracorporeal membrane oxygenation in Covid-19 or influenza: A single-center registry study #MMPMID33188714
  • Jackel M; Rilinger J; Lang CN; Zotzmann V; Kaier K; Stachon P; Biever PM; Wengenmayer T; Duerschmied D; Bode C; Staudacher DL; Supady A
  • Artif Organs 2021[Jun]; 45 (6): 593-601 PMID33188714show ga
  • Veno-venous extracorporeal membrane oxygenation (V-V ECMO) is used to sustain blood oxygenation and decarboxylation in severe acute respiratory distress syndrome (ARDS). It is under debate if V-V ECMO is as appropriate for coronavirus disease 2019 (Covid-19) ARDS as it is for influenza. In this retrospective study, we analyzed all patients with confirmed SARS-CoV-2 or influenza A/B infection, ARDS and V-V ECMO, treated at our medical intensive care unit (ICU) between October 2010 and June 2020. Baseline and procedural characteristics as well as survival 30 days after ECMO cannulation were analyzed. A total of 62 V-V ECMO patients were included (15 with Covid-19 and 47 with influenza). Both groups had similar baseline characteristics at cannulation. Thirty days after ECMO cannulation, 13.3% of all patients with Covid-19 were discharged alive from our ICU compared to 44.7% with influenza (P = .03). Patients with Covid-19 had fewer ECMO-free days (0 (0-9.7) days vs. 13.2 (0-22.1) days; P = .05). Cumulative incidences of 30-day-survival showed no significant differences (48.6% in Covid-19 patients, 63.7% in influenza patients; P = .23). ICU treatment duration was significantly longer in ARDS patients with V-V ECMO for Covid-19 compared to influenza. Thirty-day mortality was higher in Covid-19, but not significant.
  • |Adult[MESH]
  • |Aged[MESH]
  • |COVID-19/mortality/*therapy[MESH]
  • |Extracorporeal Membrane Oxygenation[MESH]
  • |Female[MESH]
  • |Germany/epidemiology[MESH]
  • |Humans[MESH]
  • |Influenza, Human/mortality/*therapy[MESH]
  • |Intensive Care Units[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Registries[MESH]
  • |Respiratory Distress Syndrome/mortality/*therapy/*virology[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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