Investigation of NeurologicalOutcomes in CriticallyIll Patients Under Extracorporeal Membrane Oxygenation (ECMO) Treatment: Retrospective Observational Study

Le résumé fourni par la source

Background: With the increasing use of extracorporeal membrane oxygenation (ECMO), neurological complications are being encountered more frequently during patient follow-up. These complications significantly contribute to morbidity and mortality, underscoring the need for further investigation into preventive strategies.Aim: Neurological complications are common in patients receiving venoarterial ECMO (VA-ECMO); however, their incidence, spectrum, and prognostic significance remain incompletely characterized. This study aimed to identify risk factors, predictors of mortality, and neurological outcomes in comatose ECMO patients.Study Design: Retrospective observational study. Methods: We conducted a retrospective analysis of patients admitted to a cardiovascular surgery intensive care unit between January 2019 and January 2024 who received ECMO support.Results: Among 189 patients, 31 (16.4%) developed neurological complications: 20 (64.5%) hypoxic–ischemic encephalopathy (HIE), 9 (29.0%) ischemic cerebrovascular events, and 2 (6.5%) hemorrhagic cerebrovascular events. Mortality was highest among patients with HIE (73.7%). Multivariable logistic regression identified two independent predictors of mortality: Glasgow Coma Scale (GCS) score

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.