Association Between Hospital-Level Volume of Extracorporeal Membrane Oxygenation and Complications: A Clustered, Mixed-Effect Analysis of the Extracorporeal Life Support Organization Registry

Higher annual center-volumes of ECMO were associated with decreased pulmonary complications for VV, decreased hemorrhagic complications for VA and VV cohorts and an increase in mechanical complications for VA cohort but not ECPR alone. These associations were small, with a 0.3% increase or decrease in odds per complication category, but are attributable entirely to the center volume and known at the moment of ECMO cannulation.

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Publication Details

Journal
Critical Care Medicine
Published
2026-02-16
DOI
https://doi.org/10.1097/ccm.0000000000007040
Citations
1
Primary Topic
Mechanical Circulatory Support Devices
Type
article
Field-Weighted Citation Impact
21.28
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article

Association Between Hospital-Level Volume of Extracorporeal Membrane Oxygenation and Complications: A Clustered, Mixed-Effect Analysis of the Extracorporeal Life Support Organization Registry

Kyle S. Bilodeau, Maxwell A. Hockstein, William Tressel, Peta M. A. Alexander et al.
1 citations
Critical Care Medicine
Mechanical Circulatory Support Devices
21.28
article

Association Between Hospital-Level Volume of Extracorporeal Membrane Oxygenation and Complications: A Clustered, Mixed-Effect Analysis of the Extracorporeal Life Support Organization Registry

Kyle S. Bilodeau, Maxwell A. Hockstein, William Tressel, Peta M. A. Alexander, Titus Chan, Richard B. Devereux, Joseph E. Tonna, D Michael McMullan
article en
1 citations

Abstract

Higher annual center-volumes of ECMO were associated with decreased pulmonary complications for VV, decreased hemorrhagic complications for VA and VV cohorts and an increase in mechanical complications for VA cohort but not ECPR alone. These associations were small, with a 0.3% increase or decrease in odds per complication category, but are attributable entirely to the center volume and known at the moment of ECMO cannulation.

Critical Care Medicine
Boston Children's Hospital (US), Harvard University (US), Georgetown University (US), University of Washington (US), University of Utah (US), University of Michigan (US), MedStar Georgetown University Hospital (US), Seattle Children's Hospital (US)
Responsible consumption and production
Openalex Percentile: Top 1%
Mechanical Circulatory Support Devices
21.28
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