prikaz prve stranice dokumenta Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center
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Scientific paper - Original scientific paper
Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center
The International Journal of Artificial Organs, 46 (2023), 4; 248-251. https://doi.org/10.1177/03913988231163891
Kutleša, Marko; Santini, Marija; Krajinović, Vladimir; Papić, Neven; Gjurašin, Branimir; Krznarić, Juraj; Kotarski, Viktor

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

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Kutleša, M., Santini, M., Krajinović, V., Papić, N., Gjurašin, B., Krznarić, J. & Kotarski, V. (2023). Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center. The International Journal of Artificial Organs, 46. (4), 248-251. doi: 10.1177/03913988231163891

Kutleša, Marko, et al. "Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center." The International Journal of Artificial Organs, vol. 46, no. 4, 2023, pp. 248-251. https://doi.org/10.1177/03913988231163891

Kutleša, Marko, Marija Santini, Vladimir Krajinović, Neven Papić, Branimir Gjurašin, Juraj Krznarić and Viktor Kotarski. "Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center." The International Journal of Artificial Organs 46, no. 4 (2023): 248-251. https://doi.org/10.1177/03913988231163891

Kutleša, M., et al. (2023) 'Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center', The International Journal of Artificial Organs, 46(4), pp. 248-251. doi: 10.1177/03913988231163891

Kutleša M, Santini M, Krajinović V, Papić N, Gjurašin B, Krznarić J, and sur.. Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center. The International Journal of Artificial Organs [Internet]. 2023 March 24 [cited 2024 May 08];46(4):248-251. doi: 10.1177/03913988231163891

M. Kutleša, et al., "Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center", The International Journal of Artificial Organs, vol. 46, no. 4, pp. 248-251, March 2023. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:607587. [Accessed: 08 May 2024]

Metadata
Title (english)Extracorporeal membrane oxygenation in COVID-19: Results of the Croatian Extracorporeal Membrane Oxygenation Referral Center
AuthorMarko Kutleša
AuthorMarija Santini
AuthorVladimir Krajinović
AuthorNeven Papić
AuthorBranimir Gjurašin
AuthorJuraj Krznarić
AuthorViktor Kotarski
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Infectious Diseases)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Infectology
Abstract (english)
At the beginning of the COVID-19 pandemic, the role of extracorporeal membrane oxygenation (ECMO) was uncertain and the outcomes of ECMO-treated patients were unfavorable. During the pandemic, medical community realized that carefully selected patients may benefit from ECMO support. The goal of the study was to present the outcomes of ECMO-treated patients with severe COVID-19 ARDS referred to the respiratory ECMO hub in Croatia and to determine variables that influenced the outcome. Our study included all adult patients with confirmed COVID-19 ARDS that required ECMO treatment, in the period between February 2020 and April 2022. All ECMO circuits were veno-venous with femoro-jugular configuration, with drainage at the femoral site. A total of 112 adult patients with COVID-19 induced ARDS were included in the study. All patients had veno-venous ECMO treatment and 34 survived. Surviving patients were discharged home either from the hospital or from a designated rehabilitation facility. The mortality was associated with the incidence of nosocomial bacteremia, occurrence of heparin induced thrombocytopenia and acute renal failure. In order to reduce the mortality in COVID-19 ECMO patients, the treatment should be started as soon as criteria for ECMO are met. Furthermore, complications of the procedure should be detected as soon as possible. However, despite even the optimal approach, the mortality in COVID-19 ECMO patients will surpass that of non-COVID-19 ARDS ECMO patients, mostly due to poor resolving and long lasting ARDS with longer ECMO runs and ensuing infectious complications.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleThe International Journal of Artificial Organs
Numberingvol. 46, no. 4, pp. 248-251
p-ISSN0391-3988
e-ISSN1724-6040
DOIhttps://doi.org/10.1177/03913988231163891
URN:NBNurn:nbn:hr:105:607587
Publication2023-03-24
Document URLhttp://journals.sagepub.com/doi/10.1177/03913988231163891
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-01-09 08:49:41