Prognostic models for mortality risk in patients requiring ECMO.
Lara C A PladetJaimie M M BartenLisette M VernooijCarlos V Elzo KraemerJeroen J H BungeErik ScholtenLeon J MontenijMarijn KuijpersDirk W DonkerOlaf L CremerChristiaan L MeuwesePublished in: Intensive care medicine (2023)
A large number of mortality prediction models have been developed for ECMO patients, yet only a minority has been externally validated. Furthermore, we observed only moderate predictive performance, large heterogeneity between-study populations and model performance, and poor methodological quality overall. Most importantly, current models are unsuitable to provide decision support for selecting individuals in whom initiation of ECMO would be most beneficial, as all models were developed in ECMO patients only and the decision to start ECMO had, therefore, already been made.
Keyphrases
- end stage renal disease
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- newly diagnosed
- chronic kidney disease
- ejection fraction
- prognostic factors
- peritoneal dialysis
- cardiovascular disease
- intensive care unit
- patient reported outcomes
- risk factors
- cardiovascular events
- high intensity
- decision making
- quality improvement