Organ support & nutrition

Age and associated outcomes among patients receiving venovenous extracorporeal membrane oxygenation for acute respiratory failure: analysis of the Extracorporeal Life Support Organization registry

Intensive Care MedPublished Registry-based cohort study

Authors' conclusion

Among patients receiving VV-ECMO for acute respiratory failure, increasing age is significantly associated with poorer outcomes, and this association emerges as early as 30 years of age.

Study context

Population
Adults (≥ 18 years) receiving VV-ECMO for acute respiratory failure, Extracorporeal Life Support Organization registry, 144 centres, 2017–2022
Participants
27,811 adults · 144 centres
Exposure
Age brackets 30-39, 40-49, 50-59, 60-69, 70-79 and ≥ 80 vs 18-29 years
Outcome
Hospital mortality
Methodological detailsmulticentre registry, Bayesian analyses
  • Multicentre registry
  • Bayesian analyses

Main finding

As reported in the abstract

CrI
Each group vs 18-29Odds ratio (95% CrI)
30-39
1.17(1.06–1.31)
40-49
1.65(1.49–1.82)
50-59
2.39(2.16–2.61)
60-69
3.29(2.97–3.67)
70-79
4.57(3.90–5.37)
≥ 80
8.08(4.85–13.74)
Overall hospital deaths
11,533 (41.5%)

Observational data: associations, not effects.

Secondary outcomes

Composite of post-ECMO complications

Similar results between increasing age and post-ECMO complications

Original publication

Age and associated outcomes among patients receiving venovenous extracorporeal membrane oxygenation for acute respiratory failure: analysis of the Extracorporeal Life Support Organization registry. Intensive Care Med. Published 20 February 2024. doi:10.1007/s00134-024-07343-5

Composed by AI from the published abstract and checked against it. How Briefs are made →

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