Outcome measures of extracorporeal life support (ECLS) in trauma patients versus patients without trauma: a 7-year single-center retrospective cohort study

被引:24
|
作者
Ull, Christopher [1 ]
Schildhauer, Thomas A. [1 ]
Strauch, Justus T. [2 ]
Swol, Justyna [3 ]
机构
[1] BG Univ Hosp Bergmannsheil, Dept Gen & Trauma Surg, Bochum, Germany
[2] BG Univ Hosp Bergmannsheil, Dept Cardiac & Thorac Surg, Bochum, Germany
[3] HELIOS Frankenwaldklin, Dept Intens Care & Emergency Med, D-96317 Kronach, Germany
关键词
Extracorporeal life support (ECLS); Extracorporeal membrane oxygenation (ECMO); Injury severity score (ISS); Major trauma; Outcome; 10-YEAR INSTITUTIONAL EXPERIENCE; SEVERE RESPIRATORY-FAILURE; MEMBRANE-OXYGENATION; MULTIPLE INJURIES; LUNG SUPPORT; ADULTS; PATHOPHYSIOLOGY; POLYTRAUMA; ASSIST; SHOCK;
D O I
10.1007/s10047-016-0938-1
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
This single-center retrospective study included a total of 99 extracorporeal life support (ECLS) cannulated patients assigned to a traumatic extracorporeal life-support cohort (TECLS) or a non-traumatic extracorporeal life-support cohort (NTECLS). Forty-nine TECLS patients and 50 NTECLS patients were compared. The TECLS patients were significantly younger [49.9 years 16.6-86.2 vs. 57.1 (21.4-78.6); p = 0.007] and had lower body mass indices (BMIs) [27.7 kg/m(2) (20-37) vs. 32.5 (19-88.5); p = 0.001] than the NTECLS patients. The intensive care unit (ICU) survival rate [n = 34 (69.4%) vs. n = 13 (26%); p <= 0.001] and the hospital survival rate [n = 32 (65.3%) vs. n = 13 (26%); p <= 0.001] were significantly higher for the TECLS cohort than for the NTECLS cohort. The lengths of stay (LOSs) in the ICU [24 days (4.8-71.1) vs. 11.3 (0-88.6); p = 0.001] and in the hospital [46.6 days (2.9-197.6) vs. 21 (0.1-213.8); p = 0.001] were significantly longer for the TECLS patients than for the NTECLS patients.
引用
收藏
页码:117 / 124
页数:8
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