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Annual Hospital Procedural Volume and Outcome in Extracorporeal Membrane Oxygenation for Respiratory Failure
Markus Jäckel
Klaus Kaier
Jonathan Rilinger
Xavier Bemtgen
Viviane Zotzmann
Manfred Karl-Heinz Zehender
Constantin von Zur Mühlen
Peter Stachon
Christoph Bode
Tobias Wengenmayer
Dawid Staudacher
出版
Universität
, 2022
URL
http://books.google.com.hk/books?id=_56YzwEACAAJ&hl=&source=gbs_api
註釋
Abstract: Background
The hospital mortality of patients suffering from pulmonary failure requiring venovenous extracorporeal membrane oxygenation (V-V ECMO) or extracorporeal carbon dioxide removal (ECCO2R) is high. It is unclear whether outcome correlates with a hospital's annual procedural volume.
Methods
Data on all V-V ECMO and ECCO2R cases treated from 2007 to 2019 were retrieved from the German Institute for Medical Documentation and Information. Comorbidities and outcomes were assessed by DRG, OPS, and ICD codes. The study population was divided into 5 groups depending on annual hospital V-V ECMO and ECCO2R volumes (10 cases; 10-19 cases; 20-29 cases; 30-49 cases; ≥50 cases). Primary outcome was hospital mortality.brResultsbrbrA total of 25 096 V-V ECMO and 3607 ECCO2R cases were analyzed. V-V ECMO hospitals increased from 89 in 2007 to 214 in 2019. Hospitals handling 10 cases annually increased especially (64 in 2007 to 149 in 2019). V-V ECMO cases rose from 807 in 2007 to 2597 in 2019. Over 50% of cases were treated in hospitals handling ≥30 cases annually. Hospital mortality was independent of the annual hospital procedural volume (55.3%; 61.3%; 59.8%; 60.2%; 56.3%, respectively, p = 0.287). We detected no differences when comparing hospitals handling 30 cases to those with ≥30 annually (p = 0.659). The numbers of ECCO2R hospitals and cases has dropped since 2011 (287 in 2007 to 48 in 2019). No correlation between annual hospital procedural volume and hospital mortality was identified (p = 0.914).