Organ support & nutrition

Frailty and outcomes after extracorporeal membrane oxygenation: a binational registry-based cohort study

Crit CarePublished Retrospective cohort study

Main finding · Adjusted one-year mortalityResult — go to the resultAdjusted risk difference +0.27% 95% CI −6.65% to +7.19%

Authors' conclusion

Frailty was not associated with short or long-term mortality among patients who received ECMO.

Study context

Population
Adults (≥ 16 years) who received Extracorporeal Membrane Oxygenation (ECMO) in 116 Intensive Care Units (ICUs), Australia and New Zealand Intensive Care Society Adult Patient Database, 2018–2024
Participants
2,084 adults
Exposure
Frailty vs no frailty
  • Frailn = 254
  • Without frailtyn = 1,830reference
Outcome
One-year mortality (assessed using g-computation)
Follow-up
One year
Methodological detailsbinational registry-based, multicentre (116 ICUs), g-computation
  • Binational registry-based
  • Multicentre (116 ICUs)
  • G-computation

Main finding

Adjusted one-year mortality

Adjusted risk difference

+0.27%

95% CI −6.65% to +7.19%

Events by group

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

One-year mortality by principal diagnostic group (subgroup), risk difference

Cardiac medical
−7.87%
Cardiac surgical
+ 3.70%
Cardiac arrest
−1.66%
Respiratory
+ 10.02%
Transplant
+ 2.19%
Others
−0.58%

Original publication

Frailty and outcomes after extracorporeal membrane oxygenation: a binational registry-based cohort study. Crit Care. Published 27 December 2025. doi:10.1186/s13054-025-05801-0

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