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Quality of life following adult veno-venous extracorporeal membrane oxygenation for acute respiratory distress syndrome: a systematic review.
Kurniawati, E R; Rutjens, V G H; Vranken, N P A; Delnoij, T S R; Lorusso, R; van der Horst, I C C; Maessen, J G; Weerwind, P W.
  • Kurniawati ER; Department of Cardiothoracic Surgery, Maastricht University Medical Center+, P. Debyelaan 25, PO Box 5800, 6202 AZ, Maastricht, the Netherlands. eva.kurniawati@mumc.nl.
  • Rutjens VGH; Department of Cardiothoracic Surgery, Maastricht University Medical Center+, P. Debyelaan 25, PO Box 5800, 6202 AZ, Maastricht, the Netherlands.
  • Vranken NPA; Department of Cardiothoracic Surgery, Maastricht University Medical Center+, P. Debyelaan 25, PO Box 5800, 6202 AZ, Maastricht, the Netherlands.
  • Delnoij TSR; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
  • Lorusso R; Department of Cardiology, Maastricht University Medical Center+, Maastricht, the Netherlands.
  • van der Horst ICC; Department of Cardiothoracic Surgery, Maastricht University Medical Center+, P. Debyelaan 25, PO Box 5800, 6202 AZ, Maastricht, the Netherlands.
  • Maessen JG; Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
  • Weerwind PW; Department of Intensive Care Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Qual Life Res ; 30(8): 2123-2135, 2021 Aug.
Article in English | MEDLINE | ID: covidwho-1509285
Semantic information from SemMedBD (by NLM)
1. Venovenous ECMO TREATS Respiratory Distress Syndrom
Subject
Venovenous ECMO
Predicate
TREATS
Object
Respiratory Distress Syndrom
2. Respiratory Distress Syndrom PROCESS_OF C0030705
Subject
Respiratory Distress Syndrom
Predicate
PROCESS_OF
Object
C0030705
3. Venovenous ECMO TREATS Patients
Subject
Venovenous ECMO
Predicate
TREATS
Object
Patients
4. Respiratory Distress Syndrom PROCESS_OF C0001675
Subject
Respiratory Distress Syndrom
Predicate
PROCESS_OF
Object
C0001675
5. Venovenous ECMO TREATS Survivors
Subject
Venovenous ECMO
Predicate
TREATS
Object
Survivors
6. Respiratory Distress Syndrom PROCESS_OF C0206194
Subject
Respiratory Distress Syndrom
Predicate
PROCESS_OF
Object
C0206194
7. Venovenous ECMO TREATS Respiratory Distress Syndrome, Adult
Subject
Venovenous ECMO
Predicate
TREATS
Object
Respiratory Distress Syndrome, Adult
8. Respiratory Distress Syndrome, Adult PROCESS_OF Patients
Subject
Respiratory Distress Syndrome, Adult
Predicate
PROCESS_OF
Object
Patients
9. Venovenous ECMO TREATS Patients
Subject
Venovenous ECMO
Predicate
TREATS
Object
Patients
10. Respiratory Distress Syndrome, Adult PROCESS_OF Adult
Subject
Respiratory Distress Syndrome, Adult
Predicate
PROCESS_OF
Object
Adult
11. Venovenous ECMO TREATS Survivors
Subject
Venovenous ECMO
Predicate
TREATS
Object
Survivors
12. Respiratory Distress Syndrome, Adult PROCESS_OF Survivors
Subject
Respiratory Distress Syndrome, Adult
Predicate
PROCESS_OF
Object
Survivors
ABSTRACT

BACKGROUND:

Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been used successfully for the past decade in adult patients with acute respiratory distress syndrome (ARDS) refractory to conventional ventilatory support. However, knowledge of the health-related quality of life (HRQoL) in VV-ECMO patients is still limited. Thus, this study aimed to provide a comprehensive overview of the HRQoL following VV-ECMO support in ARDS patients.

METHODS:

A systematic search was performed on PubMed and Web of Science databases from January 1st, 2009 to October 19th, 2020. Studies reporting on HRQoL following VV-ECMO for ARDS in adults were included. Two authors independently selected studies, extracted data, and assessed methodological quality.

RESULTS:

Eight studies were eligible for inclusion, consisting of seven observational studies and one randomized controlled trial (total N = 441). All eight studies had a quantitative design and reported 265 VV-ECMO survivors to have a reduced HRQoL compared to a generally healthy population. Follow-up time varied between six months to three years. Additionally, only four studies (total N = 335) compared the HRQoL of VV-ECMO (N = 159) to conventionally treated survivors (N = 176), with one study showing a significantly better HRQoL in VV-ECMO survivors, while three studies were stating comparable HRQoL across groups. Notably, most survivors in these studies appeared to experience varying degrees of anxiety, depression, and post-traumatic stress disorder (PTSD).

CONCLUSIONS:

ARDS survivors supported by VV-ECMO have a decline in HRQoL and suffered from physical and psychological impairments. This HRQoL reduction is comparable or even better to the HRQoL in conventionally treated ARDS survivors.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Quality of Life / Respiratory Distress Syndrome / Extracorporeal Membrane Oxygenation Subject: Quality of Life / Respiratory Distress Syndrome / Extracorporeal Membrane Oxygenation Type of study: Controlled clinical trial / Patient-preference / Prevalence study / Qualitative research / Risk factors / Systematic review Language: English Journal: Qual Life Res Clinical aspect: Prognosis / Therapy Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Quality of Life / Respiratory Distress Syndrome / Extracorporeal Membrane Oxygenation Subject: Quality of Life / Respiratory Distress Syndrome / Extracorporeal Membrane Oxygenation Type of study: Controlled clinical trial / Patient-preference / Prevalence study / Qualitative research / Risk factors / Systematic review Language: English Journal: Qual Life Res Clinical aspect: Prognosis / Therapy Year: 2021
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