Nighttime/Weekend Venoarterial Extracorporeal Membrane Oxygenation Cannulation Is Not Associated With Increased 1-Year Mortality for Non-Extracorporeal Cardiopulmonary Resuscitation Indications

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

We conclude that nighttime and weekend VA-ECMO cannulations can be performed safely at a large academic medical center.

Study context

Population
Patients undergoing venoarterial extracorporeal membrane oxygenation (VA-ECMO) cannulation for non-ECPR indications at a large quaternary academic medical center, 2011–2021
Participants
468 patients
Exposure
VA-ECMO cannulation at night/weekends vs during the day
  • Daytimen = 158reference
  • Nighttime/weekendn = 310
Outcome
Mortality
Follow-up
1 year
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

1-year mortality
  • Nighttime/weekend cannulation not associated with increased 1-year mortality (64.2% vs 60.1%)
  • Nighttime/weekend vs Daytime: P = 0.42

Observational data: associations, not effects.

Further findings

OutcomeP value
Use of RRTP = 0.49

Use of RRT

Nighttime/weekend cannulation not associated with increased RRT use (25.4% vs 22.2%)

Original publication

Nighttime/Weekend Venoarterial Extracorporeal Membrane Oxygenation Cannulation Is Not Associated With Increased 1-Year Mortality for Non-Extracorporeal Cardiopulmonary Resuscitation Indications. J Cardiothorac Vasc Anesth. Published 5 August 2024. doi:10.1053/j.jvca.2024.08.001

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