지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 383 - 389 (7page)
이용수
초록· 키워드
오류제보하기
Background and Purpose Te rate and outcomes of neurologic complications of patients receiving extracorporeal membrane oxygenation (ECMO) are poorly understood. Te purpose of this study was to identify these parameters in ECMO patients.
Methods All patients receiving ECMO were selected from the Nationwide Inpatient Sample between 2001–2011. Te rate and outcomes of neurologic complications [acute ischemic stroke, intracranial hemorrhage (ICH), and seizures] among these patients was determined.
Discharge status, mortality, length of stay, and hospitalization costs were compared between patients with and without neurologic complications using chi-squared tests for categorical variables and Student’s t-test for continuous variables.
Results In total, 23,951 patients were included in this study, of which 2,604 (10.9%) suffered neurologic complications of seizure (4.1%), stroke (4.1%), or ICH (3.6%). When compared to patients without neurologic complications, acute ischemic stroke patients had signifcantly higher rates of discharge to a long-term facility (12.2% vs. 6.8%, p<0.0001) and a signifcantly longer mean length of stay (41.6 days vs. 31.9 days, p<0.0001). ICH patients had signifcantly higher rates of discharge to a long-term facility (9.5% vs. 6.8%, p=0.007), signifcantly higher mortality rates (59.7% vs. 50.0%, p<0.0001), and a signifcantly longer mean length of stay (41.8 days vs. 31.9 days) compared to patients without neurologic complications.
These outcomes did not differ significantly between seizure patients and patients without neurologic complications.
Conclusions Given the increasing utilization of ECMO and the high costs and poor outcomes associated with neurologic complications, more research is needed to help determine the best way to prevent these sequelae in this patient population.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
ANZ ECMO / 2009 / Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome / JAMA 302 : 1888 ~ 1895
Bulas DI / 1996 / Intracranial abnormalities in infants treated with extracorporeal membrane oxygenation: update on sonographic and CT findings / AJNR Am J Neuroradiol 17 : 2
Cardarelli MG / 2009 / Use of extracorporeal membrane oxygenation for adults in cardiac arrest (E-CPR): a meta-analysis of observational studies / ASAIO J 55 : 581 ~ 586
Cengiz P / 2005 / Central nervous system complications during pediatric extracorporeal life support:incidence and risk factors / Crit Care Med 33 : 2817 ~ 2824
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40 : 373 ~ 383
Bulas DI / 1996 / Intracranial abnormalities in infants treated with extracorporeal membrane oxygenation: update on sonographic and CT findings / AJNR Am J Neuroradiol 17 : 2
Cardarelli MG / 2009 / Use of extracorporeal membrane oxygenation for adults in cardiac arrest (E-CPR): a meta-analysis of observational studies / ASAIO J 55 : 581 ~ 586
Cengiz P / 2005 / Central nervous system complications during pediatric extracorporeal life support:incidence and risk factors / Crit Care Med 33 : 2817 ~ 2824
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40 : 373 ~ 383
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