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Establishment of a Disaster Management-like System for COVID-19 Patients Requiring Veno-Venous Extracorporeal Membrane Oxygenation in Japan

Authors :
Takayuki Ogura
Shinichiro Ohshimo
Keibun Liu
Yoshiaki Iwashita
Satoru Hashimoto
Shinhiro Takeda
Source :
Membranes, Vol 11, Iss 8, p 625 (2021)
Publication Year :
2021
Publisher :
MDPI AG, 2021.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic has increased the number of patients who require extracorporeal membrane oxygenation (ECMO). To manage the demand for ECMO, Japan ECMOnet for COVID-19 was developed as a “disaster management-like system”, utilizing the Cross ICU Searchable Information System (CRISIS) database. This study investigated the effect of the establishment of this disaster management-like system in Japan. This was a nationwide retrospective observational study conducted from 1 February to 31 July in 2020. A total of 187 patients with COVID-19 who received ECMO were included. The median age was 60 years (interquartile range, 53–68), the median length of ventilatory support before ECMO was 3 days (1–5), and the median PaO2 to FiO2 ratio at ECMO initiation was 86 (71.3–101.5). During the study period, 165 telephone consultations were conducted, including general questions about ECMO. Among them, 44 concerned patients who were already on ECMO or who ultimately received ECMO. Further coordination, including transport and ECMO physician dispatch, was provided for 23 cases. Overall, 125/187 (66.8%) patients were successfully weaned from ECMO. This study demonstrated that Japan has achieved favorable survival outcomes for patients with COVID-19 who received ECMO with a disaster management-like system. Further research on the causes of these outcomes is needed.

Details

Language :
English
ISSN :
20770375
Volume :
11
Issue :
8
Database :
Directory of Open Access Journals
Journal :
Membranes
Publication Type :
Academic Journal
Accession number :
edsdoj.41ceeb4d274c44a1a1a39b2061c47635
Document Type :
article
Full Text :
https://doi.org/10.3390/membranes11080625