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Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review
INTRODUCTION: The present study intends to systematically review the literature on the use of extracorporeal membrane oxygenation (ECMO) in patients with coronavirus disease 2019 (COVID-19). METHODS: The research was carried out according to the recommendations of the Preferred Reporting Items for S...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357376/ https://www.ncbi.nlm.nih.gov/pubmed/33355811 http://dx.doi.org/10.21470/1678-9741-2020-0397 |
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author | de Oliveira, Tatiana Farias Rocha, Carlos Alberto de Oliveira dos Santos, Aisla Graciele Galdino Silva Junior, Luiz Carlos Francelino de Aquino, Saulo Henrique Salgueiro da Cunha, Euclides José Oliveira Alcântara, Rafaela Campos Mesquita, Rodrigo da Rosa Arnozo, Gabriel Monteiro Santana, Fernanda Mayara Santos da Silva Filho, Etvaldo Rodrigues de Souza, Carlos Dornels Freire |
author_facet | de Oliveira, Tatiana Farias Rocha, Carlos Alberto de Oliveira dos Santos, Aisla Graciele Galdino Silva Junior, Luiz Carlos Francelino de Aquino, Saulo Henrique Salgueiro da Cunha, Euclides José Oliveira Alcântara, Rafaela Campos Mesquita, Rodrigo da Rosa Arnozo, Gabriel Monteiro Santana, Fernanda Mayara Santos da Silva Filho, Etvaldo Rodrigues de Souza, Carlos Dornels Freire |
author_sort | de Oliveira, Tatiana Farias |
collection | PubMed |
description | INTRODUCTION: The present study intends to systematically review the literature on the use of extracorporeal membrane oxygenation (ECMO) in patients with coronavirus disease 2019 (COVID-19). METHODS: The research was carried out according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Studies were selected from PubMed/MEDLINE and LILACS databases between December 2019 and May 17 2020, using the descriptors "ECMO AND COVID-19", "Extracorporeal Membrane Oxygenation AND COVID-19", "ECLS AND COVID-19", and "Extracorporeal Life Support AND COVID-19". Exclusion criteria were government epidemiological bulletins, comments, literature reviews, and articles without full access to content. RESULTS: Two hundred and thirty-three scientific productions were found, however only 18 did not met the exclusion criteria and could be included in this study, amouting to a total of 911 patients - 624 (68.5%) men, 261 (28.6%) women, and 26 (2.8%) without sex information. The mean age of the patients was 53.7 years. ECMO was necessary in 274 (30.1%) people (200 [73%] submitted to veno-venous ECMO, nine [3.3%] to veno-arterial ECMO, and seven [2.5%] moved between these two types or needed a more specific ECMO according to the disease prognosis). Five studies did not specify the type of ECMO used, amounting 57 (20.8%) patients. Five patients (1.8%) were discharged, 77 (28.1%) died, 125 (45.6%) remained hospitalized until publication time of their respective studies, and 67 patients (24.4%) had no outcome information. CONCLUSION: It is evident that more research, covering larger populations, must be carried out in order to clearly elucidate the role of ECMO in the treatment of COVID-19. |
format | Online Article Text |
id | pubmed-8357376 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
spelling | pubmed-83573762021-08-13 Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review de Oliveira, Tatiana Farias Rocha, Carlos Alberto de Oliveira dos Santos, Aisla Graciele Galdino Silva Junior, Luiz Carlos Francelino de Aquino, Saulo Henrique Salgueiro da Cunha, Euclides José Oliveira Alcântara, Rafaela Campos Mesquita, Rodrigo da Rosa Arnozo, Gabriel Monteiro Santana, Fernanda Mayara Santos da Silva Filho, Etvaldo Rodrigues de Souza, Carlos Dornels Freire Braz J Cardiovasc Surg Review Article INTRODUCTION: The present study intends to systematically review the literature on the use of extracorporeal membrane oxygenation (ECMO) in patients with coronavirus disease 2019 (COVID-19). METHODS: The research was carried out according to the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Studies were selected from PubMed/MEDLINE and LILACS databases between December 2019 and May 17 2020, using the descriptors "ECMO AND COVID-19", "Extracorporeal Membrane Oxygenation AND COVID-19", "ECLS AND COVID-19", and "Extracorporeal Life Support AND COVID-19". Exclusion criteria were government epidemiological bulletins, comments, literature reviews, and articles without full access to content. RESULTS: Two hundred and thirty-three scientific productions were found, however only 18 did not met the exclusion criteria and could be included in this study, amouting to a total of 911 patients - 624 (68.5%) men, 261 (28.6%) women, and 26 (2.8%) without sex information. The mean age of the patients was 53.7 years. ECMO was necessary in 274 (30.1%) people (200 [73%] submitted to veno-venous ECMO, nine [3.3%] to veno-arterial ECMO, and seven [2.5%] moved between these two types or needed a more specific ECMO according to the disease prognosis). Five studies did not specify the type of ECMO used, amounting 57 (20.8%) patients. Five patients (1.8%) were discharged, 77 (28.1%) died, 125 (45.6%) remained hospitalized until publication time of their respective studies, and 67 patients (24.4%) had no outcome information. CONCLUSION: It is evident that more research, covering larger populations, must be carried out in order to clearly elucidate the role of ECMO in the treatment of COVID-19. Sociedade Brasileira de Cirurgia Cardiovascular 2021 /pmc/articles/PMC8357376/ /pubmed/33355811 http://dx.doi.org/10.21470/1678-9741-2020-0397 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article de Oliveira, Tatiana Farias Rocha, Carlos Alberto de Oliveira dos Santos, Aisla Graciele Galdino Silva Junior, Luiz Carlos Francelino de Aquino, Saulo Henrique Salgueiro da Cunha, Euclides José Oliveira Alcântara, Rafaela Campos Mesquita, Rodrigo da Rosa Arnozo, Gabriel Monteiro Santana, Fernanda Mayara Santos da Silva Filho, Etvaldo Rodrigues de Souza, Carlos Dornels Freire Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review |
title | Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review |
title_full | Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review |
title_fullStr | Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review |
title_full_unstemmed | Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review |
title_short | Extracorporeal Membrane Oxygenation in COVID-19 Treatment: a Systematic Literature Review |
title_sort | extracorporeal membrane oxygenation in covid-19 treatment: a systematic literature review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357376/ https://www.ncbi.nlm.nih.gov/pubmed/33355811 http://dx.doi.org/10.21470/1678-9741-2020-0397 |
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