Organ support & nutrition

Health-related quality of life, one-year costs and economic evaluation in extracorporeal membrane oxygenation in critically ill adults

J Crit CarePublished Prospective observational cohort study

Authors' conclusion

At one year after hospital admission requiring ECMO the health-related quality of life is favorable with substantial costs but considering the survival might be acceptable.

Study context

Population
Critically ill adults receiving extracorporeal membrane oxygenation (ECMO) in the ICU, August 2017–July 2019124 followed up at 12 months
Participants
428 adults
Outcome
Survival, HRQOL (EQ-5D-5L) and associated healthcare costs in the first year
Follow-up
1 year
Methodological detailsLimited by loss of follow-up; possibly only best-recovered patients returned questionnaires
  • Limited by loss of follow-up; possibly only best-recovered patients returned questionnaires

Main finding

As reported in the abstract

One-year mortality
50%
Overall health status (VAS, scale 0-100) at 12 months
73.6
Mean total costs during first year (± as printed), hospital costs the major contributor
$204,513 ± 211,590
Follow-up costs
$53,752 ± 65,051
Costs of absenteeism
$7317 ± 17,036

Observational data: associations, not effects.

Original publication

Health-related quality of life, one-year costs and economic evaluation in extracorporeal membrane oxygenation in critically ill adults. J Crit Care. Published 17 November 2022. doi:10.1016/j.jcrc.2022.154215

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