Outcomes of Patients Undergoing Interfacility Extracorporeal Membrane Oxygenation Transfer Based on Cannulation Location and Mode of Transport

Jillian K. Wothe; Zachary R. Bergman; Krystina R. Kalland; Logan G. Peter; Elizabeth R. Lusczek; Melissa E. Brunsvold

doi:10.1097/cce.0000000000000664

Outcomes of Patients Undergoing Interfacility Extracorporeal Membrane Oxygenation Transfer Based on Cannulation Location and Mode of Transport

Jillian K. Wothe, Zachary R. Bergman, Krystina R. Kalland, Logan G. Peter, Elizabeth R. Lusczek, Melissa E. Brunsvold

Surgery

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Abstract

As the use of extracorporeal membrane oxygenation (ECMO) expands, so has the need for interfacility transfer to ECMO centers. However, the impact of these transfers has not been fully studied. This study evaluates complications and inhospital mortality in adult patients treated with venovenous (V-V) ECMO based on institutional location of cannulation and mode of transport.

DESIGN: Retrospective cohort study.

SETTING: Large midwestern ECMO center.

PATIENTS: Adult patients receiving VV-ECMO.

INTERVENTIONS: Need for transfer to ECMO center following VV-ECMO cannulation.

MEASUREMENTS AND MAIN RESULTS: The study included 102 adult patients, 57% of which were cannulated at an outside institution prior to transfer. Of these, 60% were transported by ground, and the remainder were transported by air. Risk-adjusted logistic regression did not reveal any significant increase in odds for any complication or inhospital mortality between the groups based on location of cannulation or mode of transport.

CONCLUSIONS: This study supports the practice of interfacility ECMO transfer with no difference in outcomes or inhospital mortality based on institutional location of cannulation or mode of transport.

Original language	English (US)
Pages (from-to)	E0664
Journal	Critical Care Explorations
Volume	4
Issue number	4
DOIs	https://doi.org/10.1097/cce.0000000000000664 https://doi.org/10.1097/CCE.0000000000000664
State	Published - Mar 28 2022

Bibliographical note

Funding Information:
Supported, in part, by the Clinical and Translational Science Institute grant support (UL1TR002494 from the National Institutes of Health’s National Center for Advancing Translational Sciences) for the use of Research Electronic Data Capture in this project.

Publisher Copyright:
© 2022 The Authors.

Keywords

aircraft
extracorporeal membrane oxygenation
interfacility transfer

PubMed: MeSH publication types

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Wothe, J. K., Bergman, Z. R., Kalland, K. R., Peter, L. G., Lusczek, E. R., & Brunsvold, M. E. (2022). Outcomes of Patients Undergoing Interfacility Extracorporeal Membrane Oxygenation Transfer Based on Cannulation Location and Mode of Transport. Critical Care Explorations, 4(4), E0664. https://doi.org/10.1097/cce.0000000000000664, https://doi.org/10.1097/CCE.0000000000000664

Wothe, JK, Bergman, ZR, Kalland, KR, Peter, LG, Lusczek, ER & Brunsvold, ME 2022, 'Outcomes of Patients Undergoing Interfacility Extracorporeal Membrane Oxygenation Transfer Based on Cannulation Location and Mode of Transport', Critical Care Explorations, vol. 4, no. 4, pp. E0664. https://doi.org/10.1097/cce.0000000000000664, https://doi.org/10.1097/CCE.0000000000000664

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abstract = "As the use of extracorporeal membrane oxygenation (ECMO) expands, so has the need for interfacility transfer to ECMO centers. However, the impact of these transfers has not been fully studied. This study evaluates complications and inhospital mortality in adult patients treated with venovenous (V-V) ECMO based on institutional location of cannulation and mode of transport.DESIGN: Retrospective cohort study.SETTING: Large midwestern ECMO center.PATIENTS: Adult patients receiving VV-ECMO.INTERVENTIONS: Need for transfer to ECMO center following VV-ECMO cannulation.MEASUREMENTS AND MAIN RESULTS: The study included 102 adult patients, 57% of which were cannulated at an outside institution prior to transfer. Of these, 60% were transported by ground, and the remainder were transported by air. Risk-adjusted logistic regression did not reveal any significant increase in odds for any complication or inhospital mortality between the groups based on location of cannulation or mode of transport.CONCLUSIONS: This study supports the practice of interfacility ECMO transfer with no difference in outcomes or inhospital mortality based on institutional location of cannulation or mode of transport.",

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AU - Peter, Logan G.

AU - Lusczek, Elizabeth R.

AU - Brunsvold, Melissa E.

N1 - Funding Information: Supported, in part, by the Clinical and Translational Science Institute grant support (UL1TR002494 from the National Institutes of Health’s National Center for Advancing Translational Sciences) for the use of Research Electronic Data Capture in this project. Publisher Copyright: © 2022 The Authors.

PY - 2022/3/28

Y1 - 2022/3/28

N2 - As the use of extracorporeal membrane oxygenation (ECMO) expands, so has the need for interfacility transfer to ECMO centers. However, the impact of these transfers has not been fully studied. This study evaluates complications and inhospital mortality in adult patients treated with venovenous (V-V) ECMO based on institutional location of cannulation and mode of transport.DESIGN: Retrospective cohort study.SETTING: Large midwestern ECMO center.PATIENTS: Adult patients receiving VV-ECMO.INTERVENTIONS: Need for transfer to ECMO center following VV-ECMO cannulation.MEASUREMENTS AND MAIN RESULTS: The study included 102 adult patients, 57% of which were cannulated at an outside institution prior to transfer. Of these, 60% were transported by ground, and the remainder were transported by air. Risk-adjusted logistic regression did not reveal any significant increase in odds for any complication or inhospital mortality between the groups based on location of cannulation or mode of transport.CONCLUSIONS: This study supports the practice of interfacility ECMO transfer with no difference in outcomes or inhospital mortality based on institutional location of cannulation or mode of transport.

AB - As the use of extracorporeal membrane oxygenation (ECMO) expands, so has the need for interfacility transfer to ECMO centers. However, the impact of these transfers has not been fully studied. This study evaluates complications and inhospital mortality in adult patients treated with venovenous (V-V) ECMO based on institutional location of cannulation and mode of transport.DESIGN: Retrospective cohort study.SETTING: Large midwestern ECMO center.PATIENTS: Adult patients receiving VV-ECMO.INTERVENTIONS: Need for transfer to ECMO center following VV-ECMO cannulation.MEASUREMENTS AND MAIN RESULTS: The study included 102 adult patients, 57% of which were cannulated at an outside institution prior to transfer. Of these, 60% were transported by ground, and the remainder were transported by air. Risk-adjusted logistic regression did not reveal any significant increase in odds for any complication or inhospital mortality between the groups based on location of cannulation or mode of transport.CONCLUSIONS: This study supports the practice of interfacility ECMO transfer with no difference in outcomes or inhospital mortality based on institutional location of cannulation or mode of transport.

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Outcomes of Patients Undergoing Interfacility Extracorporeal Membrane Oxygenation Transfer Based on Cannulation Location and Mode of Transport

Abstract

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