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Venovenous Versus Venoarterial Extracorporeal Membrane Oxygenation: Pediatric Acute Respiratory Distress Syndrome.
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- Author(s): Kahveci, Fevzi; Karaçoban, Gülçin; Çelik, Nur Ayça; Gurbanov, Anar; Uçmak, Hacer; Özen, Hasan; Balaban, Burak; Botan, Edin; Dikmen, Nur; Havan, Merve; Ramoğlu, Mehmet Gökhan; Eyileten, Zeynep; Uçar, Tayfun; Kendirli, Tanıl
- Source:
Turkish Archives of Pediatrics; Nov2023, Vol. 58 Issue 6, p600-606, 7p- Subject Terms:
INTENSIVE care units; MATHEMATICAL statistics; NONPARAMETRIC statistics; PARAMETERS (Statistics); INTUBATION; EXTRACORPOREAL membrane oxygenation; RETROSPECTIVE studies; ACQUISITION of data; PEDIATRICS; FISHER exact test; MANN Whitney U Test; ADULT respiratory distress syndrome; TREATMENT effectiveness; SURVIVAL rate; PEARSON correlation (Statistics); T-test (Statistics); MEDICAL records; DESCRIPTIVE statistics; CHI-squared test; DATA analysis software; PEDIATRIC surgery; LONGITUDINAL method; DISEASE complications; EVALUATION - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective: This study aimed to compare the efficacy, complication, and mortality of patients who were supported by venovenous (VV) extracorporeal membrane oxygenation (ECMO) and venoarterial (VA) ECMO for pediatric acute respiratory distress syndrome (PARDS). Materials and Methods: This study is a single-center, retrospective cohort study between 2014 and 2022. We evaluated to indication of ECMO support, ECMO type, patients’ demographic features, complications, and children’s outcomes supported by ECMO for PARDS. Results: Twenty-two patients with PARDS, 12 (54%) with VV, and 10 (46%) with VA ECMO were selected. The median number of days to be intubated before ECMO cannulation was 5 (0-16) days. The distribution of intubated days before the patients underwent ECMO was as follows: 0-1 days, 7 (31.8%) patients; 2-3 days, 2 (9.1%) patients; 4-7 days, 7 (31.8%) patients; 8-14 days, 5 (22.8%) patients; >14 days, 1 (4.5%) patient. The median ECMO cannulation day after admission to the pediatric intensive care unit was 3 (range, 1-9) days in the VV ECMO patient group, whereas it was 8 (range, 0-19) days in the VA ECMO group (P = .02). Considering hospital survival, 4 (45%) patients who underwent double-lumen VV ECMO, 1 (33%) patient who underwent VV ECMO, and 3 (30%) patients who supported by VAECMO survived. There was no difference between the groups in terms of hospital discharge rates. Conclusion: The highest survival rate was found in the VV ECMO patient group established with double-lumen cannulas, similar to the literature. There was no difference in mortality between the groups whose intubation time before ECMO was 14 days or less. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Turkish Archives of Pediatrics is the property of Aves Yayincilik Ltd. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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