Organ support & nutrition

Age and associated outcomes among patients receiving venoarterial extracorporeal membrane oxygenation–analysis of the Extracorporeal Life Support Organization registry

Intensive Care MedPublished Retrospective cohort study

Authors' conclusion

Among patients receiving V-A ECMO for cardiogenic shock, increasing age is strongly associated with increasing odds of death and complications, and this association emerges as early as 40 years of age.

Study context

Population
Adults receiving V-A ECMO, Extracorporeal Life Support Organization registry (440 centers), 2017 to 2019
Participants
15,172 adults · 440 centers
Exposure
Increasing age brackets vs age 18-29
Outcome
Hospital mortality
Methodological detailsinternational multicentre registry, Bayesian analysis
  • International multicentre registry
  • Bayesian analysis

Main finding

As reported in the abstract

Each group vs 18-29Odds ratio (95% CrI)
30-39CrI; not associated
0.94(0.79–1.10)
40-49CrI
1.26(1.08–1.47)
50-59CrI
1.78(1.55–2.06)
60-69CrI
2.24(1.94–2.59)
70-79CrI
2.90(2.49–3.39)
≥ 80CrI
4.02(3.13–5.20)
Overall hospital mortality
8172 (53.9%)

Observational data: associations, not effects.

Secondary outcomes

Hospital mortality, informative prior (sensitivity analysis)

Similar results

Safety

Composite of post-ECMO complications

Similar association between increasing age and complications

Original publication

Age and associated outcomes among patients receiving venoarterial extracorporeal membrane oxygenation–analysis of the Extracorporeal Life Support Organization registry. Intensive Care Med. Published 4 October 2023. doi:10.1007/s00134-023-07199-1

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