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Extracorporeal membrane oxygenation as a rescue measure after thoracic surgery.
- Source :
-
Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2018 Mar; Vol. 26 (3), pp. 203-206. Date of Electronic Publication: 2018 Feb 14. - Publication Year :
- 2018
-
Abstract
- Background Extracorporeal membrane oxygenation is used for many different conditions including respiratory distress, cardiogenic shock, and trauma. In these patient groups, extracorporeal membrane oxygenation has been extensively studied. Recently, it has been used as a rescue measure in patients experiencing acute respiratory distress after thoracic surgery. The goal of our study was to examine the efficacy and cost-effectiveness of extracorporeal membrane oxygenation as a rescue measure after thoracic surgery at a single center. Methods We conducted a retrospective review of all patients who received extracorporeal membrane oxygenation after thoracic surgery at the University of Kentucky from January 9, 2012 to January 9, 2017. Eight patients were identified. Results The average time on extracorporeal membrane oxygenation was 9.125 days, and the average hospital stay was 65.125 days. Of the 8 patients placed on extracorporeal membrane oxygenation, 3 survived to discharge. Of the 3 patients who survived to discharge, 1 died within 6 months and 2 have been followed up for less than 4 months. The average total charge per patient was calculated to be $1,053,551, and the average charge per day was $16,177. The contribution margin was $109,200 per case. Conclusions Extracorporeal membrane oxygenation is a tool that saves lives in many different patient populations but it does not appear to be as effective in patients experiencing acute respiratory distress syndrome after thoracic surgery. Extracorporeal membrane oxygenation in this group also uses a tremendous amount of hospital resources.
- Subjects :
- Acute Disease
Aged
Cost-Benefit Analysis
Female
Hospital Costs
Hospital Mortality
Hospitals, University
Humans
Kentucky
Male
Middle Aged
Patient Discharge
Registries
Respiratory Insufficiency economics
Respiratory Insufficiency etiology
Respiratory Insufficiency mortality
Retrospective Studies
Thoracic Surgical Procedures economics
Thoracic Surgical Procedures mortality
Time Factors
Treatment Outcome
Extracorporeal Membrane Oxygenation adverse effects
Extracorporeal Membrane Oxygenation economics
Extracorporeal Membrane Oxygenation mortality
Respiratory Insufficiency therapy
Thoracic Surgical Procedures adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1816-5370
- Volume :
- 26
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Asian cardiovascular & thoracic annals
- Publication Type :
- Academic Journal
- Accession number :
- 29444600
- Full Text :
- https://doi.org/10.1177/0218492318760694