From: Extracorporeal gas exchange for acute respiratory failure in adult patients: a systematic review
 | Pham [ 17 ] | Noah [ 16 ] | Davies [ 15 ] | Patroniti [ 48 ] | Schmidt [ 33 ] | Michaels [ 46 ] | Takeda [ 43 ] | Holzgraefe [ 40 ] |
---|---|---|---|---|---|---|---|---|
Patients, n | 123$ | 69£ | 68 | 49 | 36 | 15 | 14 | 13 |
Number of centers | 33 | 4 | 15 | 14 | 3 | 1 | 12 | 1 |
Study design | Case control | Case control | Case control | Case series | Case series | Case series | Case series | Case series |
Newcastle-Ottawa scale | 9 | 8 | 8 | 7 | – | – | – | – |
Age, years | 42 (32–53) | 34 (28–46) | 36 (27–45) | 39 (32–46) | 39 (28–53) | 34 ± 4 | 54 (43–60) | 31 (25–50) |
BMI, kg/m2 | 30.5 ± 8.0 | – | 29 (23–36) | 27 (24–35) | 29 (25–36) | – | – | 35 (31–42) |
Pregnant or postpartum, n (%) | 18 (15) | 10 (17) | 10 (16) | 4 (8) | 7 (19) | 1(7) | 1 (7) | 3 (23) |
SOFA | 9.5 ± 4.0 | 9 (7–10) |  | 7 (6–9) | 11 (9–14) | – | 16 (12–19) | – |
Interval MV-ECMO, d | 2 (1–5) | 4 (2–7) | 2 (1–5) | 2 (1–5) | 2 (0–5) | 3.5 ± 0.8 | 5.0 (0.8–8.5) | 1 (0–7) |
Pre-ECMO parameters | Â | Â | Â | Â | Â | Â | Â | Â |
pH | 7.26 ± 0.12 | – | 7.20 (7.10–7.30) | 7.30 (7.22–7.40) | 7.22 (7.15–7.32) | – | – | 7.30(7.30–7.40) |
PaO2/FiO2, mmHg | 59 (51–71) | 55 (46–63) | 56 (48–63) | 63 (56–79) | 50 (41–55) | 62 ± 6 | 50 (40–55) | 52 (38–60) |
Plateau pressure, mmHg | 32 (29–35) | – | 36 (33–38) | 33 (30–35) | 32 (30–35) | – | 30 (29–35) | 37 (31–38) |
Lung injury score | 3.5 (3.0–4.0) | 3.5 (3.5–3.7) | 3.8 (3.5–4.0) | 3.8 (3.3–3.8) | – | – | – | 3.6 (3.3–4.0) |
Any rescue therapy | 91 (74) | – | – | – | 35 (97) | – | 4 (29) | – |
Nitric oxide, % | 72 | 19 | 32 | 15 | 89 | – | 7 | – |
Prone position, % | 45 | 34 | 20 | 28 | 67 | – | 21 | – |
Duration of ECMO, days | 11 (8–22) | 9 (6–12) | 10 (7–15) | 10 (7–17) | 20 (9–38) | 9 ± 1 | 9 (4–11) | 16 (9–30) |
Mortality, n (%) | 44 (36) | 22 (28) | 17 (25) | 14 (29) | 6 (17) | 6 (40) | 9 (64) | 2 (15) |