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Characteristics And Outcomes Of Covid-19 Patients Meeting Veno-veno Ecmo Eligibility Criteria Receiving Ecmo Vs Conventional Therapy Alone by LYNN SIPSEY; RAMIRO SAAVEDRA ROMERO; DAVID M TIERNEY; ASHLEY E STENZEL; ROMAN MELAMED is a Medicine article available to read on EtoBox.

What is Characteristics And Outcomes Of Covid-19 Patients Meeting Veno-veno Ecmo Eligibility Criteria Receiving Ecmo Vs Conventional Therapy Alone about?

## PURPOSE: To compare characteristics and outcomes of COVID-19 patients with respiratory failure meeting ECMO eligibility criteria who received ECMO vs. conventional therapy (CT) alone. METHODS: Retrospective analysis of COVID-19 patients (admitted April 2020 -December 2021) meeting ECMO eligibility criteria (PaO2/FiO2 <50 for more than 3 hours, PaO2/FiO2 < 80 for more than 6 hours, or pH < 7.25 with a pCO2 of at least 60 mm Hg for more than 6 hours within the first 7 days of mechanical ventilation (MV)) was performed. All patients received optimal therapies according to current guidelines. Due to the criteria evolution over the course of the pandemic, two intensivists confirmed eligibility by independent chart review. Differences between CT and ECMO groups were analyzed using Chi-square, Fisher's exact, and Wilcoxon rank-sum tests as appropriate. RESULTS: 62 patients met ECMO eligibility criteria, and 20 of them received CT alone. Reasons for not receiving ECMO included high BMI, comorbid conditions, improving gas exchange, or treatment team preference. CT patients had higher BMI (39.0 vs. 32.5, p=0.01), higher incidence of acute kidney injury (70% vs. 42.9%, p=0.05), and lower p

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Author

LYNN SIPSEY; RAMIRO SAAVEDRA ROMERO; DAVID M TIERNEY; ASHLEY E STENZEL; ROMAN MELAMED

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)