Background: In adult patients suffering from septic shock, supportive therapy with extracorporeal membrane oxygenation (ECMO) is still controversially discussed and only few data have been published on this subject. Methods: We retrieved the records of all septic shock patients treated with ECMO in the Department of Anesthesia and Perioperative Medicine of the Asklepios Klinik in Langen between 2011 and 2016. The primary endpoint was survival at the time of hospital discharge. The following variables were analysed: Age, ECMO mode, demographics, comorbidities, source of infection, type of pathogen, SAPS II, SOFA score, pre-ECMO pH-value, lactate value, base excess, norepinephrine dose and PaO2/FiO(2) at onset of ECMO treatment. Results: A total of 36 patients with a median age of 57 years (25th to 75th percentile 47-71,5) were analysed. The overall survival at hospital discharge was 42%. The main site of infection was the lung (75%), followed by the abdomen (19%). Only age was a predictor of hospital mortality. The optimal cut-off value for hospital survival was an age of 59 years (area under the curve (AUC) 0.83, p <0,001). Conclusions: The overall survival rate to hospital discharge remains low. In our patients with refractory septic shock, we could not find any predictors of hospital mortality except for an age older than 59 years.
机构:
Washington Univ, Dept Anesthesiol, St Louis, MO USA
Washington Univ, Sch Med, Dept Anesthesiol, 660 South Euclid Ave,Campus Box 8054, St Louis, MO 63110 USA
Washington Univ, Sch Med, Anesthesiol & Cardiothorac Surg, 660 South Euclid Ave,Campus Box 8054, St Louis, MO 63110 USAWashington Univ, Dept Anesthesiol, St Louis, MO USA
Helwani, Mohammad A.
Lim, Aaron
论文数: 0引用数: 0
h-index: 0
机构:
Virginia Commonwealth Univ, Richmond, VA USAWashington Univ, Dept Anesthesiol, St Louis, MO USA
机构:
Temple Univ Hosp & Med Sch, Div Cardiovasc Surg, 3401 N Broad St,3rd Floor,Parkinson Pavil, Philadelphia, PA 19140 USATemple Univ Hosp & Med Sch, Dept Thorac Med & Surg, Philadelphia, PA 19140 USA
Muhammad, Nadeem
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Sunagawa, Gengo
Brann, Stacey
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ Hosp & Med Sch, Div Cardiovasc Surg, 3401 N Broad St,3rd Floor,Parkinson Pavil, Philadelphia, PA 19140 USATemple Univ Hosp & Med Sch, Dept Thorac Med & Surg, Philadelphia, PA 19140 USA
Brann, Stacey
Toyoda, Yoshiya
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ Hosp & Med Sch, Div Cardiovasc Surg, 3401 N Broad St,3rd Floor,Parkinson Pavil, Philadelphia, PA 19140 USATemple Univ Hosp & Med Sch, Dept Thorac Med & Surg, Philadelphia, PA 19140 USA
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Lee, Kyo Won
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Cho, Chan Woo
Lee, Nun
论文数: 0引用数: 0
h-index: 0
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Lee, Nun
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Choi, Gyu-Seong
Cho, Yang Hyun
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Thorac & Cardiovasc Surg, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Cho, Yang Hyun
Kim, Jong Man
论文数: 0引用数: 0
h-index: 0
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Kim, Jong Man
Kwon, Choon Hyuck David
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Kwon, Choon Hyuck David
Joh, Jae-Won
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Zha, Yutao
Yuan, Jun
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Yuan, Jun
Bao, Junjie
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Bao, Junjie
Fang, Ming
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Fang, Ming
Liu, Nian
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Liu, Nian
Huang, Rui
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Huang, Rui
Wang, Cui
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Wang, Cui
Chen, Shi
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Chen, Shi
Shao, Min
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
机构:
Washington Univ, Dept Anesthesiol, St Louis, MO USA
Washington Univ, Sch Med, Dept Anesthesiol, 660 South Euclid Ave,Campus Box 8054, St Louis, MO 63110 USA
Washington Univ, Sch Med, Anesthesiol & Cardiothorac Surg, 660 South Euclid Ave,Campus Box 8054, St Louis, MO 63110 USAWashington Univ, Dept Anesthesiol, St Louis, MO USA
Helwani, Mohammad A.
Lim, Aaron
论文数: 0引用数: 0
h-index: 0
机构:
Virginia Commonwealth Univ, Richmond, VA USAWashington Univ, Dept Anesthesiol, St Louis, MO USA
机构:
Temple Univ Hosp & Med Sch, Div Cardiovasc Surg, 3401 N Broad St,3rd Floor,Parkinson Pavil, Philadelphia, PA 19140 USATemple Univ Hosp & Med Sch, Dept Thorac Med & Surg, Philadelphia, PA 19140 USA
Muhammad, Nadeem
论文数: 引用数:
h-index:
机构:
Sunagawa, Gengo
Brann, Stacey
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ Hosp & Med Sch, Div Cardiovasc Surg, 3401 N Broad St,3rd Floor,Parkinson Pavil, Philadelphia, PA 19140 USATemple Univ Hosp & Med Sch, Dept Thorac Med & Surg, Philadelphia, PA 19140 USA
Brann, Stacey
Toyoda, Yoshiya
论文数: 0引用数: 0
h-index: 0
机构:
Temple Univ Hosp & Med Sch, Div Cardiovasc Surg, 3401 N Broad St,3rd Floor,Parkinson Pavil, Philadelphia, PA 19140 USATemple Univ Hosp & Med Sch, Dept Thorac Med & Surg, Philadelphia, PA 19140 USA
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Lee, Kyo Won
论文数: 引用数:
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机构:
Cho, Chan Woo
Lee, Nun
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Lee, Nun
论文数: 引用数:
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机构:
Choi, Gyu-Seong
Cho, Yang Hyun
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Thorac & Cardiovasc Surg, Seoul, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Cho, Yang Hyun
Kim, Jong Man
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Kim, Jong Man
Kwon, Choon Hyuck David
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
Kwon, Choon Hyuck David
Joh, Jae-Won
论文数: 0引用数: 0
h-index: 0
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, 81 Irwon Ro, Seoul 06351, South Korea
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Zha, Yutao
Yuan, Jun
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Yuan, Jun
Bao, Junjie
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Bao, Junjie
Fang, Ming
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Fang, Ming
Liu, Nian
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Liu, Nian
Huang, Rui
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Huang, Rui
Wang, Cui
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Wang, Cui
Chen, Shi
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China
Chen, Shi
Shao, Min
论文数: 0引用数: 0
h-index: 0
机构:
Anhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R ChinaAnhui Med Univ, Affiliated Hosp 1, Dept Crit Care Med, Hefei, Anhui, Peoples R China