Extracorporeal membrane oxygenation in trauma patient in France: A retrospective nationwide registry
Authors' conclusion
In-hospital mortality of trauma patients requiring ECMO for refractory ARDS varied according to indications. The best prognosis was observed in the subgroup of pneumonia-induced ARDS patients.
Study context
- Population
- Patients admitted for major trauma receiving Veno-venous (VV) or veno-arterial (VA) extracorporeal membrane oxygenation (ECMO), 17 Level 1 trauma centres in France, January 2010–December 202152,851 screened
- Participants
- 179 patients
- Exposure
- VV ECMO vs VA ECMO
- VV ECMOn = 143
- VA ECMOn = 36
- Outcome
- In-hospital mortality
Methodological detailsobservational, multicentre, nationwide registry
- Observational
- Multicentre
- Nationwide registry
Main finding
As reported in the abstract
Observational data: associations, not effects.
Further findings
In-hospital deaths by ECMO indication (VV ECMO subgroup)
- Deaths after cannulation for chest injuries
- 33 (48.5%)
- Deaths after cannulation for ventilator-associated pneumonia (VAP)
- 22 (39.3%)
- Deaths after cannulation for extrapulmonary acute respiratory distress syndrome (ARDS)
- 10 (55.6%)
Indications for VV ECMO
- Chest injuries
- n = 68, 47.6%
- VAP
- n = 57, 39.9%
- Extra-respiratory ARDS
- n = 57, 39.9%
Original publication
Extracorporeal membrane oxygenation in trauma patient in France: A retrospective nationwide registry. Anaesth Crit Care Pain Med. Published 20 December 2024. doi:10.
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