Organ support & nutrition

Five Years After Extracorporeal Membrane Oxygenation: A Prospective Cohort Study of Health-Related Quality of Life and Patient Outcomes

Crit Care MedPublished Prospective cohort study

Authors' conclusion

Long-term outcome in patients supported with ECMO is good. Five-year survivors reported that HRQoL was satisfactory despite some impairment in day-to-day functioning.

Study context

Population
Patients with respiratory or cardiac failure supported with extracorporeal membrane oxygenation (ECMO), ICUs of 10 ECMO centres in the Netherlands, August 2017–July 2019155 5-year survivors
Participants
428 patients
Exposure
Respiratory support vs Cardiac support vs ECPR
Outcome
Survival and health-related quality of life (HRQoL)
Follow-up
5 years
Methodological detailsmulticentre, observational, follow-up
  • Multicentre
  • Observational
  • Follow-up

Main finding

As reported in the abstract

Survived 5 years (all patients)
155 (36%)
Survived hospital admission
230 (54%)
Survived first year
213 (50%)
EuroQol index at 5 years, median (IQR 0.73-0.98)
0.82
Slight-to-moderate impairment of mobility
39%
Impairment of usual activities
44%
Pain or discomfort
60%
Employed
41%
Retired
31%
Permanently declared unfit for work
26%

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Five Years After Extracorporeal Membrane Oxygenation: A Prospective Cohort Study of Health-Related Quality of Life and Patient Outcomes. Crit Care Med. Published 15 October 2025. doi:10.1097/ccm.0000000000006900

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