Document Type
Poster
Abstract
Title: Recovery of End-Organs and Improved Mortality in Adult Patients on ECMO Joshua K Wong, BS1, Vei Shaun Siow, BS1, Thomas N Smith, BS1, Harrison Pitcher, MD2, Linda Bogar, MD2, Hitoshi Hirose, MD2 and Nicholas C Cavarocchi, MD2. 1Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, United States, 19107 and 2Division of Cardiothoracic Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States, 19107. Body: With increasing use of ECMO in adults, we seek to objectively measure End-Organ recovery and correlate intensive care mortality scores and complications with patient survival. This is a retrospective review of patients who were placed on ECMO from Oct 2010 to Dec 2011. End-Organ function was measured through Pa02/Fi02 ratios, lactate levels, MELD and mortality scores (SAPSII/APACHEII/SOFA). Complications were recorded and analyzed. Twenty-three patients were placed on VA-ECMO and 5 on VV-ECMO. 22 (73%) patients were successfully weaned off ECMO, and 13 (46%) survived to discharge. In 12 patients with liver injury pre-ECMO, the median MELD score was 21 vs 13 post-ECMO (p
Recommended Citation
Hirose, Hitoshi; Wong, Joshua; Siow, Vei Shaun; Smith, Thomas N.; Pitcher, Harrsion; Bogar, Linda; and Carvarocchi, Nicholas C., "Recovery of end-organs and improved mortality in adult patient on ECMO." (2012). Department of Surgery Faculty Papers. Paper 65.
https://jdc.jefferson.edu/surgeryfp/65