AI Article Synopsis
- ECMO has become a common procedure in ICUs, especially for pediatric patients with cardiac issues, as it helps provide life-support.
- A study reviewed 66 children on ECMO to analyze infection rates, risk factors, and survival, finding an infection rate of 116.2 per 1,000 ECMO days and a 68.2% survival rate post-ECMO.
- The length of ECMO support was identified as a key risk factor for infections, suggesting that reducing ECMO duration and improving monitoring can enhance patient outcomes.
Article Abstract
Introduction: Extracorporeal membrane oxygenation (ECMO) has become a standard technique over the past few decades in intensive care unit (ICU).
Objective: A review of pediatric patients who received ECMO support in the pediatric cardiac ICU was conducted to determine the incidence, risk factors and causal organisms related to acquired infections and assess the survival rates of ECMO patients with nosocomial infections.
Methods: Sixty-six patients who received ECMO support in the pediatric cardiac ICU between January 2011 and June 2014 were included in the study. Demographic, echocardiographic, hemodynamic features and surgical procedures were reviewed.
Results: Sixty-six patients received a total of 292.5 days of venoarterial ECMO support. Sixty were postoperative patients. Forty-five patients were weaned from ECMO support with an ECMO survival rate of 68.2%. The rate of infection was 116.2/1000 ECMO days. Prolonged ICU stay, duration of ventilation and ECMO were found associated with development of nosocomial infection and only the duration of ECMO was an independent risk factor for nosocomial infections in ECMO patients.
Conclusion: The correction of the underlying process leading to ECMO support and shortening the length of ECMO duration together with stricter application of ECMO indications would improve the infection incidence and hospital surveillance of the patient group.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731312 | PMC |
| http://dx.doi.org/10.21470/1678-9741-2017-0072 | DOI Listing |
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