Outcomes of Urgent Interhospital Transportation for Extracorporeal Membrane Oxygenation Patients

• DOI: 10.5090/jcs.22.052
• Publication Date: 2022-11-09T04:45:35Z
• Authors: Jun Tae Yang; Hyoung Soo Kim; Kun Il Kim; Ho Hyun Ko; Jung Hyun Lim; Hong Kyu Lee; Yong Joon Ra
• Keywords: Extracorporeal

Extracorporeal membrane oxygenation (ECMO) can be used in patients with refractory cardiogenic shock or respiratory failure. In South Korea, the need for transporting ECMO is increasing. Nonetheless, information on urgent transportation and its outcomes scant.In this retrospective review of 5 years experience at a single center, clinical transported were compared those in-hospital patients. The effects relationship between insertion-departure time survival also analyzed.There 323 cases (in-hospital group) 29 transferred to Hallym University Sacred Heart Hospital without adverse events (mobile group). median was 95 minutes (interquartile range [IQR], 36.5-119.5 minutes), whereas distance 115 km (IQR, 15-115 km). Transportation itself not an independent risk factor 28-day mortality (odds ratio [OR], 0.818; IQR, 0.381-1.755; p=0.605), long-term (OR, 1.099; 0.680-1.777; p=0.700), failure weaning 1.003; 0.467-2.152; p=0.995) discharge 0.732; 0.337-1.586; p=0.429). After adjustment covariates, no significant difference found groups (p=0.435).The transportation, active involvement center before insertion adherence transport protocol, comparable