Gastrointestinal Bleeding in ECMO Patients: Incidence and Outcomes
JOURNAL OF HEART AND LUNG TRANSPLANTATION(2020)
Abstract
A total of 48 patients (mean age 59±14, male 35) were diagnosed with GIB post ECMO, of those 31 patients (65%) had upper GIB, 9 (19%) had lower GIB and 3 (6%) had combined. In 5 patients (10%) bleeding was unspecified. The mean time from ECMO initiation to the presentation of the event was 11 days (±11) and ranged from same day of cannulation to up to 60 days. Thirty-one patients (65%) were in the VA ECMO group, and 8 (17%) on VV ECMO. The remaining 9 (19%) patients were in the combined ECMO group. As seen in table 1, the mean duration of ECMO support and pre- cannulation SOFA score were significantly higher in the GIB group (p < 0.01). No difference was noted on the other Parameters Furthermore, the overall hospital discharge rate showed no significant difference between both groups (p=0.95), even when considering different ECMO types (VA ECMO: p=0.32, VV ECMO: p=0.47) CONCLUSION: Our data shows that GIB is a frequent complication (10.3%) in ECMO patients. However, there was no impact on the outcomes. Further studies are required to investigate and help better understand the etiology of GIB in those patients.
MoreTranslated text
Key words
ecmo patients
AI Read Science
Must-Reading Tree
Example
![](https://originalfileserver.aminer.cn/sys/aminer/pubs/mrt_preview.jpeg)
Generate MRT to find the research sequence of this paper
Chat Paper
Summary is being generated by the instructions you defined