Association between Extracorporeal Membrane Oxygenation (ECMO) and Mortality in the Patients with Cardiac Arrest: A Nation-Wide Population-Based Study with Propensity Score Matched Analysis
DC Field | Value | Language |
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dc.contributor.author | Kim, Su Jin | - |
dc.contributor.author | Han, Kap Su | - |
dc.contributor.author | Lee, Eui Jung | - |
dc.contributor.author | Lee, Si Jin | - |
dc.contributor.author | Lee, Ji Sung | - |
dc.contributor.author | Lee, Sung Woo | - |
dc.date.accessioned | 2021-08-30T09:46:54Z | - |
dc.date.available | 2021-08-30T09:46:54Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2020-11 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/52025 | - |
dc.description.abstract | We attempted to determine the impact of extracorporeal membrane oxygenation (ECMO) on short-term and long-term outcomes and find potential resource utilization differences between the ECMO and non-ECMO groups, using the National Health Insurance Service database. We selected adult patients (>= 20 years old) with non-traumatic cardiac arrest from 2007 to 2015. Data on age, sex, insurance status, hospital volume, residential area urbanization, and pre-existing diseases were extracted from the database. A total of 1.5% (n = 3859) of 253,806 patients were categorized into the ECMO group. The ECMO-supported patients were more likely to be younger, men, more covered by national health insurance, and showed, higher usage of tertiary level and large volume hospitals, and a lower rate of pre-existing comorbidities, compared to the non-ECMO group. After propensity score-matching demographic data, hospital factors, and pre-existing diseases, the odds ratio (ORs) of the ECMO group were 0.76 (confidence interval, (CI) 0.68-0.85) for 30-day mortality and 0.66 (CI 0.58-0.79) for 1-year mortality using logistic regression. The index hospitalization was longer, and the 30-day and 1-year hospital costs were greater in the matched ECMO group. Although ECMO support needed longer hospitalization days and higher hospital costs, the ECMO support reduced the risk of 30-day and 1-year mortality compared to the non-ECMO patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | MDPI | - |
dc.subject | CONVENTIONAL CARDIOPULMONARY-RESUSCITATION | - |
dc.subject | ALL-CAUSE MORTALITY | - |
dc.subject | LIFE-SUPPORT | - |
dc.subject | SOCIOECONOMIC-STATUS | - |
dc.subject | CARDIOGENIC-SHOCK | - |
dc.subject | SURVIVAL | - |
dc.subject | ADULTS | - |
dc.subject | ORGANIZATION | - |
dc.subject | METAANALYSIS | - |
dc.subject | COMPLICATIONS | - |
dc.title | Association between Extracorporeal Membrane Oxygenation (ECMO) and Mortality in the Patients with Cardiac Arrest: A Nation-Wide Population-Based Study with Propensity Score Matched Analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Su Jin | - |
dc.contributor.affiliatedAuthor | Han, Kap Su | - |
dc.contributor.affiliatedAuthor | Lee, Sung Woo | - |
dc.identifier.doi | 10.3390/jcm9113703 | - |
dc.identifier.wosid | 000593212600001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, v.9, no.11 | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL MEDICINE | - |
dc.citation.title | JOURNAL OF CLINICAL MEDICINE | - |
dc.citation.volume | 9 | - |
dc.citation.number | 11 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | CONVENTIONAL CARDIOPULMONARY-RESUSCITATION | - |
dc.subject.keywordPlus | ALL-CAUSE MORTALITY | - |
dc.subject.keywordPlus | LIFE-SUPPORT | - |
dc.subject.keywordPlus | SOCIOECONOMIC-STATUS | - |
dc.subject.keywordPlus | CARDIOGENIC-SHOCK | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | ADULTS | - |
dc.subject.keywordPlus | ORGANIZATION | - |
dc.subject.keywordPlus | METAANALYSIS | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordAuthor | cardiac arrest | - |
dc.subject.keywordAuthor | extracorporeal membrane oxygenation | - |
dc.subject.keywordAuthor | cardiopulmonary resuscitation | - |
dc.subject.keywordAuthor | mortality | - |
dc.subject.keywordAuthor | hospital cost | - |
dc.subject.keywordAuthor | propensity-score matching | - |
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