{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T02:32:19Z","timestamp":1788229939188,"version":"build-2803163510"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T00:00:00Z","timestamp":1616976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Although the number of cancer patients admitted to the intensive care unit is increasing, the data on the use of extracorporeal membrane oxygenation in patients with malignancy are limited. We applied extracorporeal membrane oxygenation to carefully selected patients with active hematologic malignancy or nonhematologic malignancy who experienced respiratory or cardiac failure despite maximal conventional therapy. Patients with active malignancy who underwent extracorporeal membrane oxygenation in our institution between January 2012 and December 2016 were included in this study. The primary outcome of this study was defined as survival to hospital discharge. We also investigated the factors associated with survival to hospital discharge. There were 30 (30.6%) and 68 (69.4%) patients in the hematologic malignancy group and the nonhematologic malignancy group, respectively. Patients in the hematologic malignancy group were younger, more neutropenic, more hypotensive, had a lower Charlson Comorbidity Index, higher sequential organ failure assessment score, and lower platelet count than those in the nonhematologic malignancy group. Forty\u2010six (46.9%) patients were successfully weaned off extracorporeal membrane oxygenation, and 30 (30.6%) patients survived until hospital discharge. Hospital survival rate and survival status 6\u00a0months after hospital discharge were significantly lower in patients with hematologic malignancy than in those with nonhematologic malignancy (13.3% vs. 38.2%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.026 and 3.3% vs. 26.5%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.017, respectively). Multivariate analysis identified an active hematologic malignancy, older age, acidosis, thrombocytopenia, high vasoactive\u2010inotrope score, and respiratory failure as the risk factors for in\u2010hospital death. Patients with hematologic malignancy requiring extracorporeal membrane oxygenation support had significantly lower rates of hospital survival and 6\u2010month survival after discharge than patients with nonhematologic malignancy. Therefore, extracorporeal membrane oxygenation for treating cardiac or respiratory failure should only be considered in highly selected patients with hematologic malignancy.<\/jats:p>","DOI":"10.1111\/aor.13922","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:50:30Z","timestamp":1611881430000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcomes of extracorporeal membrane oxygenation in adults with active hematologic and nonhematologic malignancy"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-009X","authenticated-orcid":false,"given":"Chul","family":"Park","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea"},{"name":"Division of Pulmonology Department of Medicine Wonkwang University Hospital Iksan Republic of 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Hoon","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea"},{"name":"Division of Cardiology Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyeongman","family":"Jeon","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea"},{"name":"Division of Pulmonary and Critical Care Medicine Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gee Young","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine Samsung Medical Center Sungkyunkwan 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