Journal article
Trends in Extracorporeal Membrane Oxygenation Growth in the United States, 2011-2014
ASAIO journal (1992), Vol.65(7), pp.712-717
09/2019
DOI: 10.1097/MAT.0000000000000872
PMID: 30247176
Abstract
The use of extracorporeal membrane oxygenation (ECMO) has grown rapidly in recent years. We sought to describe the rate of ECMO use in the United States, regional variation in ECMO use, the hospitals performing ECMO, and the primary payers for ECMO patients. Detailed data were obtained using the Healthcare Cost and Utilization Project (HCUPnet) summaries of State Inpatient Databases from 34 participating states for the years 2011-2014. The ECMO rates over time were modeled, overall and within subcategories of age group, bed size, hospital ownership, teaching status, and payer type. During the study period, the overall rate of ECMO use increased from 1.06 (1.01, 1.12) to 1.77 (1.72, 1.82) cases per 100,000 persons per year (p = 0.005). The rate of ECMO use varied significantly by region. Most ECMO patients are cared for at large hospitals, and at private, not-for-profit hospitals with teaching designation. The most common payer was private insurance; a minority of patient were uninsured. The use of ECMO increased significantly during the study period, but regional variation in the rate of ECMO use suggests that this technology is not being uniformly applied. Further research is warranted to determine why differences in ECMO use persist and what impact they have on patient outcomes.
Details
- Title: Subtitle
- Trends in Extracorporeal Membrane Oxygenation Growth in the United States, 2011-2014
- Creators
- Michael J Stentz - From the Department of Anesthesiology, Emory School of Medicine, Atlanta, GeorgiaMary E Kelley - Department of Biostatistics and Bioinformatics, Emory Rollins School of Public Health, Atlanta, GeorgiaCraig S Jabaley - From the Department of Anesthesiology, Emory School of Medicine, Atlanta, GeorgiaVikas O'Reilly-Shah - From the Department of Anesthesiology, Emory School of Medicine, Atlanta, GeorgiaRobert F Groff - Department of Anesthesiology, Atlanta VA Medical Center, Decatur, GeorgiaVanessa Moll - From the Department of Anesthesiology, Emory School of Medicine, Atlanta, GeorgiaJames M Blum - Department of Anesthesiology, Atlanta VA Medical Center, Decatur, Georgia
- Resource Type
- Journal article
- Publication Details
- ASAIO journal (1992), Vol.65(7), pp.712-717
- Publisher
- United States
- DOI
- 10.1097/MAT.0000000000000872
- PMID
- 30247176
- ISSN
- 1058-2916
- eISSN
- 1538-943X
- Language
- English
- Date published
- 09/2019
- Academic Unit
- Anesthesia
- Record Identifier
- 9984013164602771
Metrics
28 Record Views