Quality of Life and Mid-Term Survival in Patients Receiving Extracorporeal Membrane Oxygenation After Cardiac Surgery.

Abstract

There is a lack of data regarding mid-term outcomes of extracorporeal membrane oxygenation (ECMO) for refractory postcardiotomy cardiogenic shock (PCS). In this context, this research aimed to assess the mid-term survival and quality of life of PCS patients who receive ECMO by comparing them with cardiac surgery patients who do not receive ECMO. A retrospective analysis was performed on the clinical data of patients who had undergone ECMO treatment after cardiac surgery from January 2013 to June 2017 in a tertiary hospital (n = 102); non-ECMO patients who had undergone cardiac surgery and were discharged successfully were selected as the control group (n = 102). Survival and mid-term quality of life were assessed and compared through the Short-Form 36 (SF-36). Both groups were followed up by telephone, and SF-36 scores were obtained from the surviving patients. The data were available for 89 patients (87.3%) and 88 patients (86.3%) in the ECMO group and the control group, respectively. After discharge, the control group outperformed the ECMO group in survival (93.1% vs. 82.4%; p = 0.013). No significant differences in complications, all-cause mortality, first readmission for any cause, or work condition between the ECMO group and the control group were observed. The SF-36 scores in general health (GH) and vitality (VT) were significantly lower among the ECMO survivors (p < 0.05). The results of this study indicate that ECMO can provide acceptable mid-term survival with good quality of life for patients with refractory cardiogenic shock.

• Authors: Chengcheng Shao, Liangshan Wang, Feng Yang, Jinhong Wang, Hong Wang, Xiaotong Hou
• Journal: ASAIO journal (American Society for Artificial Internal Organs : 1992) (ASAIO J) Vol. 68 Issue 3 Pg. 349-355 (03 01 2022) ISSN: 1538-943X [Electronic] United States
• PMID: 35213884 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © ASAIO 2021.

Topics

• Cardiac Surgical Procedures (adverse effects)
• Extracorporeal Membrane Oxygenation (methods)
• Humans
• Quality of Life
• Retrospective Studies
• Shock, Cardiogenic (etiology, surgery)
• Treatment Outcome