{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:52:35Z","timestamp":1791301955813,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T00:00:00Z","timestamp":1629676800000},"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":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The successful use of prolonged (ie, &gt;28\u00a0days) veno\u2010venous extracorporeal membrane oxygenation (V\u2010V ECMO) is being increasingly reported. However, limited data are available on its outcomes. This study investigated the outcomes of acute respiratory distress syndrome (ARDS) patients on prolonged ECMO support. We retrospectively evaluated 57 patients requiring V\u2010V ECMO for ARDS between 2015 and 2020. The patients were divided into two groups according to ECMO duration: (a) \u226428\u00a0days group (n\u00a0=\u00a043, 75%) or (b) &gt;28\u00a0days (n\u00a0=\u00a014, 25%) group. Clinical characteristics, complications, and outcomes between these two groups were statistically compared. There were no significant differences in demographics, comorbidity, ARDS etiology, and severity scores between the two groups. However, the mechanical ventilation period before ECMO initiation was significantly longer in the &gt;28\u00a0days group than in the \u226428\u00a0days group (10.5\u00a0days vs. 1\u00a0day; <jats:italic>P<\/jats:italic> &lt; .05). The incidence of positive bacterial blood culture results during ECMO was significantly higher in the &gt;28\u00a0days group than in the \u226428\u00a0days group (43% vs. 9%; <jats:italic>P<\/jats:italic> &lt; .05). Additionally, the hospital survival rate was significantly lower in the &gt;28\u00a0days group than in the \u226428\u00a0days ECMO group (21% vs. 60%; <jats:italic>P<\/jats:italic> &lt; .05). Prolonged ECMO was associated with worse hospital survival outcomes. Early initiation of ECMO along with meticulous care and appropriate treatment against infection during ECMO could improve the hospital survival of ARDS patients on prolonged ECMO support.<\/jats:p>","DOI":"10.1111\/aor.14051","type":"journal-article","created":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T14:28:36Z","timestamp":1629124116000},"page":"1533-1542","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Hospital survival outcomes in acute respiratory distress syndrome patients receiving veno\u2010venous extracorporeal membrane oxygenation for longer than 28\u00a0days: A retrospective study"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7379-3211","authenticated-orcid":false,"given":"Nao","family":"Umei","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Graduate School of Medicine Nippon Medical School Tokyo 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