Predicting Mortality in ARDS Patients Treated with ECMO

Composite score based on age, sequential organ failure assessment score, and influenza diagnosis predicts mortality risk.

Definitive criteria are lacking for initiation of extracorporeal membrane oxygenation (ECMO) in patients with acute respiratory distress syndrome (ARDS). To identify predictors of mortality in such patients, researchers at a referral center in France prospectively analyzed data from 85 consecutive ARDS patients retrieved from referring hospitals for ECMO treatment during a 3.5-year period. Patients aged >70 with chronic heart, lung, or kidney disease, or with sequential organ failure assessment (SOFA) scores >18 were excluded.

Patients had severe hypoxia and respiratory acidosis (PaCO₂ >70 mm Hg; pH <7.2). ARDS etiologies included community-acquired bacterial pneumonia (35%), influenza pneumonia (23%), and nosocomial pneumonia (14%). More th…

Reviewing Author

Kristi L. Koenig, MD, FACEP, FIFEM

Disclosures

Editorial boardsKoenig & Schultz's Disaster Medicine: Comprehensive Principles and Practices

Kristi L. Koenig, MD, FACEP, FIFEM

Disclosures

Editorial boardsKoenig & Schultz's Disaster Medicine: Comprehensive Principles and Practices

Predicting Mortality in ARDS Patients Treated with ECMO

Topics

Reviewing Author