Title |
Increased trend in extracorporeal membrane oxygenation use by adults in the United States since 2007
|
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Published in |
BMC Research Notes, November 2015
|
DOI | 10.1186/s13104-015-1678-7 |
Pubmed ID | |
Authors |
Alicia K. Gerke, Fan Tang, Joseph E. Cavanaugh, Kevin C. Doerschug, Philip M. Polgreen |
Abstract |
Extracorporeal membrane oxygenation (ECMO) has been increasingly studied as a life support modality, but it is unclear if its use has changed over time. Recent publication shows no significant trend in use of ECMO over time; however, this report does not include more recent data. We performed trend analysis to determine if and when the use of ECMO changed in the past decade. We identified hospitalizations (2000-2011) in the Nationwide Inpatient Sample during which ECMO was recorded. We used a segmented linear regression model to determine trend and to identify a temporal change point when rate of ECMO use increased. ECMO use gradually grew until 2007, at which time there was a dramatic increase in the rate (p = 0.0003). There was no difference in mortality after 2007 (p = 0.3374), but there was longer length of stay (p = 0.0001) and smaller percentage of women (p = 0.005). There has been a marked increase in ECMO use since 2007. As ECMO use becomes more common, further study regarding indications, cost-effectiveness, and outcomes is warranted to guide optimal use. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
France | 1 | 3% |
Unknown | 30 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 7 | 23% |
Student > Doctoral Student | 4 | 13% |
Student > Ph. D. Student | 4 | 13% |
Professor | 2 | 6% |
Student > Postgraduate | 2 | 6% |
Other | 6 | 19% |
Unknown | 6 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 65% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 3% |
Nursing and Health Professions | 1 | 3% |
Engineering | 1 | 3% |
Unknown | 8 | 26% |