Organ support & nutrition

Outcomes After Respiratory Extracorporeal Life Support in Teens and Young Adults: An Extracorporeal Life Support Organization Registry Analysis*

Crit Care MedPublished Retrospective cohort study

Main finding · Survival to dischargeResult — go to the resultAdjusted OR for survival 1.14 95% CI 1.004–1.3

Authors' conclusion

In this large multicenter retrospective study, mortality was higher in teens than in young adults who received respiratory ECLS.

Study context

Population
Patients aged 16–30 years cannulated for respiratory indications, Extracorporeal Life Support Organization registry, 1990 to 2020
Participants
5,751 patients
Exposure
Teens vs young adults receiving respiratory extracorporeal life support (ECLS)
  • Teensn = 1,653reference
  • Young adultsn = 4,098
Outcome
Survival to discharge
Methodological detailsmulticentre registry
  • Multicentre registry

Main finding

As reported in the abstract

Adjusted OR for survival

1.14

95% CI 1.004–1.3

By group

Young adults vs Teens
adjusted OR for survival 1.14 (95% CI 1.004–1.3)

Observational data: associations, not effects.

Further findings

Use of venoarterial ECLS

Survival by PaO2/FiO2 stratum (subgroup)

Severity of illness higher in teens; survival within each PaO2/FiO2 stratum higher in young adults than teens

High-frequency oscillatory ventilation

Teens more likely to receive HFOV; associated with longer time from admission to ECLS initiation

Original publication

Outcomes After Respiratory Extracorporeal Life Support in Teens and Young Adults: An Extracorporeal Life Support Organization Registry Analysis*. Crit Care Med. Published 5 September 2023. doi:10.1097/ccm.0000000000006049

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