Organ support & nutrition

Sex differences in venoarterial extracorporeal membrane oxygenation utilisation and clinical outcomes in Australia

J Crit CarePublished Retrospective registry cohort study

Main finding · In-hospital mortalityResult — go to the resultOdds ratio 1.41 95% CI 1.07–1.87

Authors' conclusion

Despite younger age and fewer traditional risk factors, female sex is associated with increased adjusted risk of in-hospital mortality and bleeding in VA-ECMO patients.

Study context

Population
Adults supported with venoarterial extracorporeal membrane oxygenation (VA-ECMO) in Australia, EXCEL registry, February 2019 to December 2024
Participants
1,443 adults
Exposure
Female vs male sex
Outcome
In-hospital mortality
Methodological detailsbinational registry, multivariable logistic regression
  • Binational registry
  • Multivariable logistic regression

Main finding

As reported in the abstract

Odds ratio

1.41

95% CI 1.07–1.87

P = 0.015

Female vs Male
OR 1.41 (95% CI 1.07–1.87); P = 0.015

Observational data: associations, not effects.

Further findings

Sex distribution

Sex distribution

Females younger, lower APACHE IV scores, more often ECMO for myocarditis, PE and advanced pulmonary hypertension; males more often acute MI and cardiac arrest with shockable rhythm

Safety

OutcomeOR (95% CI)P value
Major bleedingAdjusted1.40 (1.03–1.91)P = 0.033

Original publication

Sex differences in venoarterial extracorporeal membrane oxygenation utilisation and clinical outcomes in Australia. J Crit Care. Published 29 January 2026. doi:10.1016/j.jcrc.2026.155473

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.