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Outcomes of patients with acute pulmonary embolism managed in-house vs those transferred between hospitals: a retrospective observational study.
Res Pract Thromb Haemost
November 2024
Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai Health System, New York City, New York, USA.
Background: Interhospital transfer (IHT) for acute pulmonary embolism (PE) is increasingly performed to improve access to advanced reperfusion therapies. It is unclear if outcomes of patients undergoing IHT are comparable with those of patients presenting in-house to hospitals with PE Response Team (PERT) capabilities.
Objectives: To determine whether outcomes of patients with acute PE undergoing IHT differ from those of patients presenting in-house.
Mechanical Ventilation for Children Approaching End of Life: A PHIS Study, 2010-2019.
Hosp Pediatr
December 2024
Divisions of aCritical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine.
Objective: To determine the prevalence of invasive and noninvasive mechanical ventilation (IMV and NIV) for children who die in the hospital, to assess for change over time, and to determine the association between mode(s) of ventilation and hospital resource utilization.
Methods: Multicenter retrospective cohort of 37 children's hospitals in the United States participating in Pediatric Health Information Systems Database. Included 41 091 hospitalizations for patients 0 to 21 years who died in hospital January 2010 to December 2019.
Objective: The aim of this study was to determine how the COVID-19 pandemic affected patient demographics, injury mechanisms, interhospital transfers and mortality of patients with traumatic brain injuries (TBIs) treated in US emergency departments (EDs).
Design: This cross-sectional study analysed 2016-2020 Nationwide Emergency Department Sample (NEDS) data.
Setting: US EDs contained in the NEDS.
Complications during extracorporeal membrane oxygenation transfer in Argentina: A multicenter observational study.
Artif Organs
November 2024
Critical Care Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Background: There is a lack of documented cases regarding complications during ECMO transfer in middle-income countries. Using portable ECMO devices facilitates patient transport but entails significantly higher costs, necessitating evidence of their practical utility. This study aims to describe complications during ECMO transfer in Argentina and to compare complication rates between the integrated portable ECMO and non-portable ECMO systems.
View Article and Find Full Text PDFOur approach for out-of-center initiation of extracorporeal membrane oxygenation and subsequent interhospital transport.
Wien Klin Wochenschr
December 2024
Intensive Care Unit 13i2, Department of Medicine I, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Extracorporeal membrane oxygenation (ECMO) initiation at a non-ECMO-capable facility by specialized mobile teams aims for a stabilization prior to center admission, internationally referred to as ECMO retrieval. It is a recommended strategy to avoid primary interhospital transfer of compromised patients with a high risk of life-threatening incidents and potentially death. Deploying the unique skill set of ECMO installation and transportation to an unfamiliar environment, however, adds a further degree of complexity to the demanding fields of both transporting the critically ill and ECMO management itself.
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