Two decades' experience with interfacility transport on extracorporeal membrane oxygenation.

Published

Journal Article

BACKGROUND: Interfacility transport of patients on extracorporeal membrane oxygenation (ECMO) has been performed in large numbers at only a few programs. Limited data are available on outcomes after ECMO transport to justify expanding or discontinuing these programs. METHODS: This was a retrospective review of a 20-year, single-institution experience with interhospital ECMO transport as well as a systematic review of reports of transfers of patients on ECMO. Results of both were compared with historical data from the international registry of the Extracorporeal Life Support Organization (ELSO). RESULTS: Between 1990 and 2012, ECMO was used to facilitate transport of 221 patients to our institution, and 135 (62%) survived to discharge. Review of an additional 27 case series describing ECMO transport of 643 patients showed an overall survival of 61%. After stratifying by age and primary indication for ECMO, survival of transported patients was not significantly different compared with all ECMO patients in the ELSO registry, with the exception of pediatric patients treated for respiratory failure (transported patients in this category had higher survival than those in the ELSO registry). CONCLUSIONS: Interfacility transport on ECMO is feasible and can be accomplished safely in the critically ill. Survival of transported patients is comparable to age-matched and treatment-matched ECMO patients at large.

Full Text

Duke Authors

Cited Authors

  • Bryner, B; Cooley, E; Copenhaver, W; Brierley, K; Teman, N; Landis, D; Rycus, P; Hemmila, M; Napolitano, LM; Haft, J; Park, PK; Bartlett, RH

Published Date

  • October 2014

Published In

Volume / Issue

  • 98 / 4

Start / End Page

  • 1363 - 1370

PubMed ID

  • 25149055

Pubmed Central ID

  • 25149055

Electronic International Standard Serial Number (EISSN)

  • 1552-6259

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2014.06.025

Language

  • eng

Conference Location

  • Netherlands