Point of care guided coagulation management in adult patients on extracorporeal membrane oxygenation (ECMO): A systematic review and meta-analysis
Authors' conclusion
Viscoelastic POC monitoring demonstrates potential benefits for coagulation management in ECMO patients.
Study context
- Population
- Adults on ECMO
- Participants
- 583 adults · 15 studies
- Comparison
- Viscoelastic point-of-care (POC)-guided coagulation management vs control
- Outcome
- Bleeding, thrombosis, in-hospital mortality, circuit change or failure
Methodological detailsrandom effects model
- Random effects model
Pooled result
As reported in the abstract
POC-guided vs ControlOdds ratio (95% CI)
Bleeding
0.71(0.36–1.42)
Thrombosis
0.91(0.32–2.60)
In-hospital mortality
0.54(0.29–1.03)
Circuit change or failure
1.50(0.59–3.83)
Original publication
Point of care guided coagulation management in adult patients on ECMO: A systematic review and meta-analysis. J Crit Care. Published 13 May 2024. doi:10.
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