title: Outcome measures of extracorporeal life support (ECLS) in trauma patients versus patients without trauma: a 7-year single-center retrospective cohort study.
abstract: This single-center retrospective study included a total of 99 extracorporeal life support (ECLS) cannulated patients assigned to a traumatic extracorporeal life-support cohort (TECLS) or a non-traumatic extracorporeal life-support cohort (NTECLS). Forty-nine TECLS patients and 50 NTECLS patients were compared. The TECLS patients were significantly younger [49.9 years 16.6-86.2 vs. 57.1 (21.4-78.6); p = 0.007] and had lower body mass indices (BMIs) [27.7 kg/m2(20-37) vs. 32.5 (19-88.5); p = 0.001] than the NTECLS patients. The intensive care unit (ICU) survival rate [n = 34 (69.4%) vs. n = 13 (26%); p ≤ 0.001] and the hospital survival rate [n = 32 (65.3%) vs. n = 13 (26%); p ≤ 0.001] were significantly higher for the TECLS cohort than for the NTECLS cohort. The lengths of stay (LOSs) in the ICU [24 days (4.8-71.1) vs. 11.3 (0-88.6); p = 0.001] and in the hospital [46.6 days (2.9-197.6) vs. 21 (0.1-213.8); p = 0.001] were significantly longer for the TECLS patients than for the NTECLS patients.
authors.affiliation: Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
authors.forename: Christopher
authors.initials: C
authors.lastname: Ull
authors.affiliation: Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Schildhauer
authors.affiliation: Department of Cardiac and Thoracic Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
authors.forename: Justus T
authors.initials: JT
authors.lastname: Strauch
authors.affiliation: Department of Intensive Care and Emergency Medicine, HELIOS Frankenwaldklinik, 96317, Kronach, Germany. jswol@icloud.com.
authors.forename: Justyna
authors.identifier: http://orcid.org/0000-0002-2903-092X
authors.initials: J
authors.lastname: Swol
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003422:Critical Care; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D015996:Survival Rate; D014947:Wounds and Injuries / Q000401:mortality / Q000628:therapy*; D055815:Young Adult
keywords: Extracorporeal life support (ECLS); Extracorporeal membrane oxygenation (ECMO); Injury severity score (ISS); Major trauma; Outcome