Respiratory failure & ventilation

Role of age as eligibility criterion for ECMO in patients with ARDS: meta-regression analysis

Crit CarePublished Systematic review and meta-regression

Authors' conclusion

The relationship between age and ICU mortality is linear and shows no inflection point.

Study context

Population
ARDS patients treated with V–V ECMO (studies with ≥6 patients, 2015–June 2024)two cohorts: 173 and 103 studies
Participants
56,257 vs 21,255
Comparison
Non-COVID ARDS vs COVID-19 ARDS
  • Non-COVID ARDSn = 56,257
  • COVID-19 ARDSn = 21,255
Outcome
Association of mean age with ICU and/or hospital mortality
Methodological detailsCOVID-19 and non-COVID-19 populations analysed separately, covariate-adjusted meta-regression
  • COVID-19 and non-COVID-19 populations analysed separately
  • Covariate-adjusted meta-regression

Pooled result

As reported in the abstract

ICU/hospital mortality vs mean age

Further pooled results

Sensitivity analyses

Confirmed findings; linear relationship between age and mortality in both groups

Original publication

Role of age as eligibility criterion for ECMO in patients with ARDS: meta-regression analysis. Crit Care. Published 27 August 2024. doi:10.1186/s13054-024-05074-z

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