دورية أكاديمية
Incidence of Venous Thromboembolism in Adults Receiving Extracorporeal Membrane Oxygenation: A Systematic Review.
العنوان: | Incidence of Venous Thromboembolism in Adults Receiving Extracorporeal Membrane Oxygenation: A Systematic Review. |
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المؤلفون: | Iannattone PA; From the Department of Medicine, Jewish General Hospital, McGill University, Montréal, Quebec., Yang SS; Department of Anesthesia, Division of Critical Care, McGill University, Jewish General Hospital, Montréal, Quebec., Koolian M; Department of Medicine, Division of Internal Medicine, Center for Clinical Epidemiology and Community Studies, Lady Davis Institute, Jewish General Hospital, McGill University, Montréal, Quebec., Wong EG; Department of Surgery, Division of Critical Care, Jewish General Hospital, McGill University, Montréal, Quebec, Canada., Lipes J; Department of Anesthesia, Division of Critical Care, McGill University, Jewish General Hospital, Montréal, Quebec. |
المصدر: | ASAIO journal (American Society for Artificial Internal Organs : 1992) [ASAIO J] 2022 Dec 01; Vol. 68 (12), pp. 1523-1528. Date of Electronic Publication: 2022 Mar 19. |
نوع المنشور: | Systematic Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9204109 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-943X (Electronic) Linking ISSN: 10582916 NLM ISO Abbreviation: ASAIO J Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Philadelphia, PA : Published for the Society by J.B. Lippincott Co., c1992- |
مواضيع طبية MeSH: | Extracorporeal Membrane Oxygenation*/adverse effects , Venous Thromboembolism*/etiology , Venous Thromboembolism*/complications , Pulmonary Embolism*/etiology, Adult ; Humans ; Incidence |
مستخلص: | Extracorporeal membrane oxygenation (ECMO) has become an increasingly used tool for cardiorespiratory support. Thrombosis is a well-recognized complication of ECMO, yet the burden of disease remains unclear. We undertook a systematic review to investigate the incidence of venous thromboembolism (VTE) during ECMO or soon after decannulation, in patients screened for VTE. We retrieved all studies that evaluated VTE incidence in ECMO patients in EMBASE, MEDLINE, Web of Science, and Cochrane Library from inception to April 2, 2021. Studies reporting incidence of VTE diagnosed on systematic screening tests during ECMO or within 7 days of decannulation in adult patients were included. A total of 18 studies were included in the systematic review. These studies screened a total of 1095 ECMO patients. Most studies screened for cannula-associated deep vein thrombosis (CaDVT) after decannulation. The overall incidence of DVT was 52.8% (95% CI, 49.8-55.8%). Incidence of DVT was 53.5% (95% CI, 50.0-57.0%) for venovenous ECMO vs. 34.0% (95% CI, 26.5-42.2%) for venoarterial ECMO. No studies screened for pulmonary embolism. Our systematic review found a very high incidence of DVT among patients treated with ECMO. Routine screening for DVT after decannulation for all ECMO patients may be warranted. Competing Interests: Disclosure: There are no conflicts of interest. (Copyright © ASAIO 2022.) |
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تواريخ الأحداث: | Date Created: 20221205 Date Completed: 20221207 Latest Revision: 20230203 |
رمز التحديث: | 20240628 |
DOI: | 10.1097/MAT.0000000000001694 |
PMID: | 36469448 |
قاعدة البيانات: | MEDLINE |
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