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Financial Implications of Using Extracorporeal Membrane Oxygenation Following Heart Transplantation by Krishnamoorthy, Bhuvaneswari; Mehta, Vipin; Critchley, William; Callan, Paul; Shaw, Steve; Venkateswaran, Rajamiyer is a Medicine article available to read on EtoBox.

What is Financial Implications of Using Extracorporeal Membrane Oxygenation Following Heart Transplantation about?

## Abstract ## OBJECTIVES Primary graft dysfunction after heart transplant is associated with high morbidity and mortality. Extracorporeal membrane oxygenation (ECMO) can be used to wean patients from cardiopulmonary bypass. This study retrospectively reviews a single-centre experience of post-transplant ECMO in regard to outcomes and associated costs. ## METHODS Between May 2006 and May 2019, a total of 267 adult heart transplants were performed. We compared donor and recipient variables, ECMO duration and the incidence of renal failure, bleeding, infection and cost analysis between ECMO and non-ECMO groups. ## RESULTS ECMO support was required postoperatively to manage primary graft dysfunction in 72 (27%) patients. The mean duration of ECMO support was 6 ± 3.2 days. Mean ischaemic times were similar between the groups. There was a significantly higher proportion of ventricular assist device explant to transplant in the ECMO group versus non-ECMO (38.2% vs 14.1%; P < 0.0001). ECMO patients had a longer duration of stay in the intensive care unit (P < 0.0001) and total hospital stay (P < 0.0001). Greater mortality was observed in the ECMO group (P < 0.0001). The median cost of pro

Who reads Financial Implications of Using Extracorporeal Membrane Oxygenation Following Heart Transplantation?

Author

Krishnamoorthy, Bhuvaneswari; Mehta, Vipin; Critchley, William; Callan, Paul; Shaw, Steve; Venkateswaran, Rajamiyer

Publisher

CTSNet; Oxford University Press; Oxford: Elsevier Science; [S.l.]: European Association for Cardio-thoracic Surgery; Oxford University Press (OUP) (ISSN 1569-9293)

Published

2020

Language

EN

Field

Medicine (Health Sciences)