{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:29:41Z","timestamp":1786512581166,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005090","name":"Beijing Nova Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005090","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Artificial Organs"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extracorporeal membrane oxygenation (ECMO) as rescue therapy for cardiogenic shock (CS) is highly dependent on timeliness and medical resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Aimed to assess ECMO management and outcomes in adult patients with CS in terms of on\u2010 and after\u2010hour ECMO initiation from a national ECMO registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult patients diagnosed with CS and those who received ECMO were enrolled in the study. The population was divided into the work\u2010hours and the after\u2010hours group based on the time of ECMO initiation. In\u2010hospital mortality and ECMO management were compared between them. Electronic data in this research were provided by Chinese Society of Extracorporeal Life Support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In a cohort of 1862 patients, 552 (29.6%) received ECMO during work\u2010hours, whereas 1310 (70.4%) received ECMO during after\u2010hours. After\u2010hour ECMO had more patients with elective cardiac procedures (35.1% vs. 26.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and higher severity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with more patients with Society for Cardiovascular Angiography and Interventions shock stage D (29.6% vs. 24.5), E (60.0% vs. 51.8%), and fewer B (3.6% vs. 13.2%) and C (6.8% vs. 10.5%). A high proportion underwent intra\u2010aortic balloon pump (IABP) implantation before ECMO (28.4% vs. 23.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016) and mechanical ventilation (92.1% vs. 87.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) during after\u2010hours. The in\u2010hospital mortality in patients with after\u2010hour ECMO initiation was higher than that in patients with work\u2010hour ECMO initiation (51.8% vs. 45.3%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this cohort, 70% were initiated during after\u2010hours and showed higher in\u2010hospital mortality than patients with work\u2010hour ECMO initiation. After\u2010hour ECMO initiation should be a concern for ECMO programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aor.14952","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T04:29:31Z","timestamp":1739248171000},"page":"1153-1162","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Extracorporeal Membrane Oxygenation Initiation in Cardiogenic Shock During Work\u2010Hours Versus After\u2010Hours"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1773-302X","authenticated-orcid":false,"given":"Chenglong","family":"Li","sequence":"first","affiliation":[{"name":"Center for Cardiac Intensive Care, Beijing Anzhen Hospital Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaomeng","family":"Wang","sequence":"additional","affiliation":[{"name":"Center for Cardiac 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Wenzhou Medical University  Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianling","family":"Liu","sequence":"additional","affiliation":[{"name":"ICU The Affiliated Hospital of Guangzhou Medical University  Guangzhou Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Wuhan Asia Heart Hospital  Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liuer","family":"Zuo","sequence":"additional","affiliation":[{"name":"Department of ICU Shunde Hospital, Southern Medical University  Foshan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Huang","sequence":"additional","affiliation":[{"name":"ICU First Affiliated Hospital of Anhui Medical University  Hefei 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