Respiratory failure & ventilation
Socioeconomic status and ECMO outcomes in severe ARDS
Authors' conclusion
Severe ARDS requiring ECMO disproportionately affected patients from socioeconomically deprived areas, irrespective of etiology. However, deprivation was not linked to worse outcomes.
Study context
- Population
- Adults receiving ECMO for acute respiratory failure (severe ARDS), France, March 2015 to December 2021
- Participants
- 1,722 adults
- Exposure
- COVID-19 ARDS vs ARDS due to influenza or other causes, on ECMO
- COVID-19n = 1,245
- Influenzan = 107reference
- Other causesn = 370
- Outcome
- Residence in most deprived neighborhoods
Methodological detailsnationwide French healthcare database
- Nationwide French healthcare database
Main finding
As reported in the abstract
- Overall in most deprived neighborhoods
- 27%
- Overrepresentation vs less deprived neighborhoods
- P = 0.039
Observational data: associations, not effects.
Further findings
| Outcome | COVID-19 | Influenza | Other causes | OR (95% CI) | |
|---|---|---|---|---|---|
| In-hospital mortalityOther causes vs Influenza · adjusted | 56% | 48% | 60% | 1.70 (1.03–2.81) | |
| 0.20.5125Odds ratio (log scale) |
| Outcome | COVID-19 | Influenza | Other causes |
|---|---|---|---|
| ICU LOS in survivors | median 56 (IQR 36–78) days | — not stated in the abstract | — not stated in the abstract |
— not stated in the abstract
- In-hospital mortality — Difference across etiologies
- p = 0.080
ICU LOS in survivors
- Longest in COVID-19 survivors, who also required longer ECMO support
Independent predictors of in-hospital death
- Older age and RRT at ECMO initiation; socioeconomic deprivation not associated with outcomes
Safety
- More complications in COVID-19 survivors
Original publication
Socioeconomic status and ECMO outcomes in severe ARDS. Ann Intensive Care. Published 16 January 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →