Organ support & nutrition

Epidemiology of continuous renal replacement therapy in critically ill adults on extracorporeal membrane oxygenation (ECMO): A multicenter cohort study

J Crit CarePublished Retrospective cohort study

Authors' conclusion

In this multicenter ECMO-cohort, CRRT was independently associated with higher in-hospital mortality regardless of ECMO configuration and the timing of CRRT initiation.

Study context

Population
Adults receiving ECMO, 2009–2023512 (37.7%) received continuous renal replacement therapy (CRRT)
Participants
1,358 adults
Exposure
CRRT before, early or late relative to ECMO cannulation vs ECMO-only
  • CRRT-beforen = 82
  • CRRT-earlyn = 234
  • CRRT-laten = 196
Outcome
In-hospital mortality
Methodological detailsmulticentre, multivariable logistic regression
  • Multicentre
  • Multivariable logistic regression

Main finding

As reported in the abstract

Each group vs ECMO-onlyAdjusted odds ratio (95% CI)
CRRT-before
4.95(2.62–9.35)
CRRT-early
3.10(2.14–4.50)
CRRT-late
4.08(2.82–5.89)

Observational data: associations, not effects.

Further findings

RRT dependence at discharge among ECMO survivors with CRRT

Predictors of mortality

Older age, sepsis and VA-ECMO were independent predictors of mortality

Original publication

Epidemiology of continuous renal replacement therapy in critically ill adults on ECMO: A multicenter cohort study. J Crit Care. Published 13 September 2026. doi:10.1016/j.jcrc.2026.155735

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

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