{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:31:05Z","timestamp":1787729465746,"version":"build-2784847793"},"reference-count":25,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Artif Organs"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The use of extracorporeal membrane oxygenation (ECMO) has increased, although its survival benefit in trauma patients with severe adult respiratory distress syndrome (ARDS) remains controversial. We investigated the effect of veno-venous (VV)-ECMO on the clinical outcomes of trauma patients with severe ARDS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a retrospective study at a single center comprising trauma patients admitted between January 2013 and December 2017, diagnosed with severe ARDS using the Berlin definition (PaO2\/FiO2 ratio \u2a7d100), in the 7\u2009days following trauma. Patients were managed with VV-ECMO or conventional mechanical ventilation (CMV). The primary outcome was in-hospital mortality (mortality at 60\u2009days); secondary outcomes comprised 28-day mortality, hospital length of stay (LOS), intensive care unit (ICU) LOS, ICU-free days, duration of mechanical ventilation (MV), and MV-free days. Propensity score matching was performed to adjust for the baseline differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixteen patients (22.5%) were managed with VV-ECMO and 55 were managed with CMV. After matching, the in-hospital mortality rate (43.8% vs 53.1%; p\u2009=\u20090.760), 28-day mortality rate (37.5% vs 31.3%; p\u2009=\u20090.750), median hospital LOS (39.5 vs 36.5\u2009days; p\u2009=\u20090.533), ICU-free days (0 vs 0\u2009days; p\u2009=\u20090.241), and MV-free days (0 vs 0\u2009days; p\u2009=\u20090.272) did not significantly differ between the VV-ECMO and CMV groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In-hospital mortality (mortality at 60\u2009days) did not differ significantly between the VV-ECMO and CMV groups. Although the safety of ECMO in trauma patients requires further investigation, VV-ECMO may be considered as a rescue therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03913988221116649","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T01:12:30Z","timestamp":1659489150000},"page":"833-840","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Use of venovenous extracorporeal membrane oxygenation in trauma patients with severe adult respiratory distress syndrome: A retrospective study"],"prefix":"10.1177","volume":"45","author":[{"given":"Gil Jae","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea"},{"name":"Department of Traumatology, Gachon University College of Medicine, Incheon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myung Jun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Gil","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7325-8262","authenticated-orcid":false,"given":"Seung Hwan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Republic of 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