Respiratory failure & ventilation
Echocardiographic Findings in Critically Ill COVID-19 Patients Treated With and Without Extracorporeal Membrane Oxygenation
Authors' conclusion
The prevalence of echocardiographic abnormalities, in particular RV dysfunction, was frequent among patients with COVID-19 receiving VV ECMO support and was associated with worse clinical outcomes.
Study context
- Population
- Mechanically ventilated patients with COVID-19 ARDS and an echocardiogram within 72 hours of admission, intensive care unit (ICU) of a quaternary academic center, March 2020–June 2021
- Participants
- 242 participants
- Exposure
- VV ECMO vs no ECMO
- ECMOn = 145
- Outcome
- Initial echocardiogram findings
- Follow-up
- Baseline
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- ECMO vs non-ECMO: P = 0.31
- ECMO vs non-ECMO: P = 0.27
- ECMO vs non-ECMO: P = 0.02
Observational data: associations, not effects.
Further findings
RV systolic dysfunction during ICU stay
P = 0.001
ACP during ICU stay
P = 0.002
ICU mortality by follow-up echocardiogram findings · follow-up echocardiograms
| OR (95% CI) | ||
|---|---|---|
| RV systolic dysfunction | 1.99 (1.09–3.63) | |
| ACP | 2.95 (1.55–5.62) | |
| 0.20.5125Odds ratio (log scale) |
Median
| Outcome | ECMO | non-ECMO | P value |
|---|---|---|---|
| PaO2/FiO2 | 76 (IQR 65–95) | 98 (IQR 85–140) | P ≤ 0.001 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Echocardiographic Findings in Critically Ill COVID-19 Patients Treated With and Without Extracorporeal Membrane Oxygenation. J Cardiothorac Vasc Anesth. Published 8 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →