Acute cardiac care & resuscitation
Treatment Time Limit for Successful Weaning from Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock
Main finding · Successful weaning from VA-ECMO (decannulation and survival to discharge)Result — go to the resultOdds ratio 0.813 95% CI 0.679–0.914Authors' conclusion
Long support duration of VA-ECMO was significantly associated with a low rate of successful weaning in patients with cardiogenic shock.
Study context
- Population
- Patients with cardiogenic shock treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) (OHCA excluded), January 2013 to June 2023
- Participants
- 100 patients
- Exposure
- VA-ECMO support duration: ≤7 days vs 8-14 days vs ≥15 days
- Group An = 50
- Group Bn = 25
- Group Cn = 25
- Outcome
- Successful weaning from VA-ECMO (decannulation and survival to discharge)
Methodological detailssingle-centre, consecutive patients
- Single-centre
- Consecutive patients
Main finding
As reported in the abstract
Odds ratio
0.813
95% CI 0.679–0.914
P = 0.025
Events by group
Group C
16%
4 of 25
Support duration (per 3 days)
OR 0.813 (95% CI 0.679–0.914); P = 0.025
Per 3 days, as printed
- Weaning success across Groups A, B, C
- P = 0.002
- Overall successfully weaned
- 43 (43%)
Observational data: associations, not effects.
Further findings
VA-ECMO support duration, successful vs unsuccessful decannulation
- VA-ECMO support duration, successful vs unsuccessful decannulation — Significantly longer support duration without successful decannulation
- P = 0.004
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Treatment Time Limit for Successful Weaning from Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock. ESC Heart Fail. Published 11 July 2024. doi:10. 1002/ ehf2. 14931
Composed by AI from the published abstract and checked against it. How Briefs are made →