作者
Moronke A Noah, Giles J Peek, Simon J Finney, Mark J Griffiths, David A Harrison, Richard Grieve, M Zia Sadique, Jasjeet S Sekhon, Daniel F McAuley, Richard K Firmin, Christopher Harvey, Jeremy J Cordingley, Susanna Price, Alain Vuylsteke, David P Jenkins, David W Noble, Roxanna Bloomfield, Timothy S Walsh, Gavin D Perkins, David Menon, Bruce L Taylor, Kathryn M Rowan
发表日期
2011/10/19
期刊
JAMA: The Journal of the American Medical Association
卷号
306
期号
15
页码范围
1659-1668
出版商
American Medical Association
简介
Context
Extracorporeal membrane oxygenation (ECMO) can support gas exchange in patients with severe acute respiratory distress syndrome (ARDS), but its role has remained controversial. ECMO was used to treat patients with ARDS during the 2009 influenza A(H1N1) pandemic.
Objective
To compare the hospital mortality of patients with H1N1-related ARDS referred, accepted, and transferred for ECMO with matched patients who were not referred for ECMO.
Design, Setting, and Patients
A cohort study in which ECMO-referred patients were defined as all patients with H1N1-related ARDS who were referred, accepted, and transferred to 1 of the 4 adult ECMO centers in the United Kingdom during the H1N1 pandemic in winter 2009-2010. The ECMO-referred patients and the non–ECMO-referred patients were matched using data from a concurrent, longitudinal cohort study (Swine Flu Triage study) of critically ill …
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