Results from 237 extracorporeal membrane oxygenation runs with drowned patients: a nationwide retrospective study
Authors' conclusion
This study indicates that survival in drowned patients who receive ECMO is lower than previously reported.
Study context
- Population
- Patients of all ages hospitalised due to drowning in Germany, 2007–2020, with extracorporeal membrane oxygenation (ECMO)237 received ECMO
- Participants
- 12,354 patients
- Outcome
- Hospital mortality
Methodological detailsnationwide, multiple logistic regression, Data from the Federal Statistical Office of Germany (ICD T75.1; OPS 8-852.0, 8-852.3)
- Nationwide
- Multiple logistic regression
- Data from the Federal Statistical Office of Germany (ICD T75.1; OPS 8-852.0, 8-852.3)
Main finding
As reported in the abstract
Hospital mortality, overall (n = 1741)
14.1%
Hospital mortality, ECMO patients (n = 177)
74.7%
ECMO use (237 patients)
1.9%
Observational data: associations, not effects.
Further findings
Factors associated with in-hospital mortality in ECMO patients
| OR (CI) | ||
|---|---|---|
| CPR before admission | 4.49 (1.31–15.39) | |
| In-hospital CPR | 6.28 (2.76–14.31) | |
| Stroke | 0.14 (0.02–0.96) | |
| Drug abuse | 0.05 (0.01–0.45) | |
| 0.050.21520Odds ratio (log scale) |
- ECMO mode, age and sex: no statistically significant effect on survival
Original publication
Results from 237 extracorporeal membrane oxygenation runs with drowned patients: a nationwide retrospective study. Crit Care. Published 20 July 2023. doi:10.
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