Corrigendum to ‘Extracorporeal membrane oxygenation for refractory cardiogenic shock: patient survival and health-related quality of life’  [Eur J Cardiothorac Surg 2019;55:780-787]

Jäämaa‐Holmberg, Salla; Salmela, Birgitta; Suojaranta, Raili; Jokinen, Jukka; Lemström, Karl; Lommi, Jyri

doi:10.1093/ejcts/ezaa242

Cited by 1 publication

(8 citation statements)

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“…3 A ). In contrast, nine studies (21–24, 29, 32, 34, 47, 48) compared SF-36 results with critically ill patients or patients with chronic disease and found VA-ECMO survivors had comparable or better physical and mental health QOL outcomes ( Fig. 3 B ).…”

Section: Resultsmentioning

confidence: 99%

“…Despite the seemingly optimistic reported functional recovery above, four studies (29,32,37,38) found that only 19% of survivors were working or studying at follow-up without considering prior status. Four studies (24,(33)(34)(35) found that 39-57% of survivors who were less than 60-65 years old had returned to work or school at follow-up. Two studies (22,36) found that 41% of VA-ECMO survivors who were previously working had returned to work at follow-up.…”

Section: -Minute Walk Testmentioning

confidence: 99%

“…Return to Work. Ten of 27 studies (22,24,29,(32)(33)(34)(35)(36)(37)(38) assessed the ability of 392 VA-ECMO survivors to return to work, at average follow-up of 40 ± 22 months. Despite the seemingly optimistic reported functional recovery above, four studies (29,32,37,38) found that only 19% of survivors were working or studying at follow-up without considering prior status.…”

Section: -Minute Walk Testmentioning

confidence: 99%

“…Across four studies (33)(34)(35)49), the pooled EQ mean index score for survivors was 0.75 ± 0.18. Across four studies (27,34,43,49) the pooled EQ visual analog scale (VAS) score for survivors was 71.8 ± 11.4. Both the EQ mean index score and EQ VAS are comparable to similarly aged people in the general population (50).…”

Section: Cognitive Outcomesmentioning

confidence: 99%

“…One study (35) reported 23% of 48 VA-ECMO survivors needed rehabilitation at discharge and another (24) reported 97% of the 79 VA-ECMO survivors received rehabilitation between discharge and median follow-up of 1.9 years. Four studies looked at living situation, mean follow-up of 27 ± 11 months, with 0-22% requiring home health care (34,35) (24) (36).…”

Section: -Minute Walk Testmentioning

confidence: 99%

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Sounding the Alarm: What Clinicians Need to Know about Physical, Emotional, and Cognitive Recovery After Venoarterial Extracorporeal Membrane Oxygenation*

Higa

Mayer

Quinn

et al. 2023

Critical Care Medicine

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OBJECTIVE: We summarize the existing data on the occurrence of physical, emotional, and cognitive dysfunction associated with postintensive care syndrome (PICS) in adult survivors of venoarterial extracorporeal membrane oxygenation (VA-ECMO). DATA SOURCES: MEDLINE, Cochrane Library, EMBASE, Web of Science, and CINAHL databases were searched. STUDY SELECTION: Peer-reviewed studies of adults receiving VA-ECMO for any reason with at least one measure of health-related quality of life outcomes or PICS at long-term follow-up of at least 6 months were included. DATA EXTRACTION: The participant demographics and baseline characteristics, in-hospital outcomes, long-term health outcomes, quality of life outcome measures, and prevalence of PICS were extracted. DATA SYNTHESIS: Twenty-seven studies met inclusion criteria encompassing 3,271 patients who were treated with VA-ECMO. The studies were limited to single- or two-center studies. Outcomes variables and follow-up time points evaluated were widely heterogeneous which limits comprehensive analysis of PICS after VA-ECMO. In general, the longer-term PICS-related outcomes of survivors of VA-ECMO were worse than the general population, and approaching that of patients with chronic disease. Available studies identified high rates of abnormal 6-minute walk distance, depression, anxiety, and posttraumatic stress disorder that persisted for years. Half or fewer survivors return to work years after discharge. Only 2 of 27 studies examined cognitive outcomes and no studies evaluated cognitive dysfunction within the first year of recovery. No studies evaluated the impact of targeted interventions on these outcomes. CONCLUSIONS: Survivors of VA-ECMO represent a population of critically ill patients at high risk for deficits in physical, emotional, and cognitive function related to PICS. This systematic review highlights the alarming reality that PICS and in particular, neurocognitive outcomes, in survivors of VA-ECMO are understudied, underrecognized, and thus likely undertreated. These results underscore the imperative that we look beyond survival to focus on understanding the burden of survivorship with the goal of optimizing recovery and outcomes after these life-saving interventions. Future prospective, multicenter, longitudinal studies in recovery after VA-ECMO are justified.

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