Pediatric Extracorporeal Life Support Organization Registry International Report 2016

Ryan P. Barbaro, Matthew L. Paden, Yigit S. Guner, Lakshmi Raman, Lindsay M. Ryerson, Peta Alexander, Viviane G. Nasr, Melania M. Bembea, Peter T. Rycus, Ravi R. Thiagarajan

Research output: Contribution to journalArticle

Abstract

The purpose of this report is to describe the international growth, outcomes, complications, and technology used in pediatric extracorporeal life support (ECLS) from 2009 to 2015 as reported by participating centers in the Extracorporeal Life Support Organization (ELSO). To date, there are 59,969 children who have received ECLS in the ELSO Registry; among those, 21,907 received ECLS since 2009 with an overall survival to hospital discharge rate of 61%. In 2009, 2,409 ECLS cases were performed at 157 centers. By 2015, that number grew to 2,992 cases in 227 centers, reflecting a 24% increase in patients and 55% growth in centers. ECLS delivered to neonates (0-28 days) for respiratory support was the largest subcategory of ECLS among children <18-years old. Overall, 48% of ECLS was delivered for respiratory support and 52% was for cardiac support or extracorporeal life support to support cardiopulmonary resuscitation (ECPR). During the study period, over half of children were supported on ECLS with centrifugal pumps (51%) and polymethylpentene oxygenators (52%). Adverse events including neurologic events were common during ECLS, a fact that underscores the opportunity and need to promote quality improvement work.

Original languageEnglish (US)
Pages (from-to)456-463
Number of pages8
JournalASAIO Journal
Volume63
Issue number4
DOIs
StatePublished - Jan 1 2017

Keywords

  • Extracorporeal Life Support Organization
  • complications
  • extracorporeal life support
  • extracorporeal membrane oxygenation
  • neonate
  • outcomes
  • pediatric
  • pediatric

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering
  • Biomaterials
  • Biomedical Engineering

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  • Cite this

    Barbaro, R. P., Paden, M. L., Guner, Y. S., Raman, L., Ryerson, L. M., Alexander, P., Nasr, V. G., Bembea, M. M., Rycus, P. T., & Thiagarajan, R. R. (2017). Pediatric Extracorporeal Life Support Organization Registry International Report 2016. ASAIO Journal, 63(4), 456-463. https://doi.org/10.1097/MAT.0000000000000603