{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T06:08:51Z","timestamp":1740809331700,"version":"3.38.0"},"reference-count":26,"publisher":"AACN Publishing","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>COVID-19 can cause severe acute respiratory distress syndrome or myocardial dysfunction requiring extracorporeal membrane oxygenation (ECMO). Whether comorbidities or sociodemographic factors influence outcomes in these patients is unclear.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Adult patients from the National Inpatient Sample dataset with COVID-19 pneumonia or non\u2013COVID-19 pneumonia who underwent ECMO between 2016 and 2021 were included. Cohorts were matched in a 1:5 ratio using propensity scores. The primary outcome of interest was inpatient mortality; secondary outcomes included length of stay, total hospitalization costs, need for dialysis, rate of vascular complications, and discharge disposition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Weighted patient groups (COVID-19 pneumonia, 5680 patients; non\u2013COVID-19 pneumonia, 430 patients) were identified. Mean (SD) age was 46.0 (11.2) years in the COVID-19 group, 45.1 (12.5) years in the non\u2013COVID-19 group. After matching, unweighted groups (COVID-19 pneumonia, 1136 patients; non\u2013COVID-19 pneumonia, 86 patients) were compared. Patients with COVID-19 pneumonia had higher mortality risk (odds ratio [OR], 1.98; 95% CI, 1.11-3.53; P = .02), longer stays (38.0 vs 28.5 days, P &amp;lt; .001), higher costs ($1\u2009278\u2009270 vs $967\u2009866, P = .002), and less likelihood of discharge home (OR, 0.42; 95% CI, 0.21-0.85; P = .02) than patients with non\u2013COVID-19 pneumonia. Vascular complication rate (OR, 0.77; 95% CI, 0.27-2.26; P = .64) and need for dialysis (OR, 1.01; 95% CI, 0.49-2.08; P = .97) did not differ between groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Among patients undergoing ECMO, those with COVID-19 pneumonia had worse outcomes than those with non\u2013COVID-19 pneumonia after adjustment for sociodemographic factors and comorbidities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4037\/ajcc2025524","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T02:03:31Z","timestamp":1740794611000},"page":"104-110","source":"Crossref","is-referenced-by-count":0,"title":["Extracorporeal Membrane Oxygenation Outcomes: COVID-19 Pneumonia vs Non\u2013COVID-19 Pneumonia"],"prefix":"10.4037","volume":"34","author":[{"given":"Francisco J.","family":"Gallegos-Koyner","sequence":"first","affiliation":[{"name":"Francisco J. Gallegos-Koyner is a resident physician at SBH Health System, Department of Internal Medicine, City University of New York School of Medicine, Bronx, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson I.","family":"Barrera","sequence":"additional","affiliation":[{"name":"Nelson I. Barrera is a resident physician at SBH Health System, Department of Internal Medicine."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adisalem M.","family":"Teferi","sequence":"additional","affiliation":[{"name":"Adisalem M. Teferi is a resident physician at SBH Health System, Department of Internal Medicine."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katerina","family":"Jou","sequence":"additional","affiliation":[{"name":"Katerina Jou was a physician at SBH Health System, Department of Internal Medicine, and is now a general surgery resident, Northwell Health, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto C.","family":"Cerrud-Rodriguez","sequence":"additional","affiliation":[{"name":"Roberto C. Cerrud-Rodriguez is a cardiologist and vascular interventionist at Yale New Haven Hospital, Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Chong","sequence":"additional","affiliation":[{"name":"David H. Chong is an associate professor, City University of New York School of Medicine, and a pulmonologist at SBH Health System, Department of Internal Medicine."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2471","reference":[{"issue":"5","key":"2025030102030892800_b1-0340104","doi-asserted-by":"publisher","first-page":"101607","DOI":"10.1016\/j.cpcardiol.2023.101607","article-title":"COVID-19 with stress cardiomyopathy mortality and outcomes among patients hospitalized in the United States: a propensity matched analysis using the National Inpatient Sample database","volume":"48","author":"Davis","year":"2023","journal-title":"Curr Probl Cardiol"},{"issue":"6585","key":"2025030102030892800_b2-0340104","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1126\/science.abm4915","article-title":"The changing epidemiology of SARS-CoV-2","volume":"375","author":"Koelle","year":"2022","journal-title":"Science"},{"issue":"1","key":"2025030102030892800_b3-0340104","doi-asserted-by":"publisher","first-page":"e23630","DOI":"10.1016\/j.heliyon.2023.e23630","article-title":"COVID-19 epidemic in Panama","volume":"10","author":"Vigil-De Gracia","year":"2023","journal-title":"Heliyon"},{"issue":"1","key":"2025030102030892800_b4-0340104","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s40560-023-00654-7","article-title":"Extracorporeal membrane oxygenation for COVID-19-related acute respiratory distress syndrome: a narrative review","volume":"11","author":"Alessandri","year":"2023","journal-title":"J Intensive Care"},{"issue":"5","key":"2025030102030892800_b5-0340104","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1097\/MAT.0000000000001173","article-title":"Initial ELSO guidance document: ECMO for COVID-19 patients with severe cardiopulmonary failure","volume":"66","author":"Bartlett","year":"2020","journal-title":"ASAIO J"},{"issue":"1","key":"2025030102030892800_b6-0340104","doi-asserted-by":"publisher","first-page":"S655","DOI":"10.1097\/01.ccm.0001003628.80989.ae","article-title":"1367: Mortality in patients admitted with COVID-19 vs pneumonia who underwent ECMO using NIS, 2016\u20132020","volume":"52","author":"Gallegos","year":"2024","journal-title":"Crit Care Med"},{"issue":"3","key":"2025030102030892800_b7-0340104","doi-asserted-by":"publisher","first-page":"E339","DOI":"10.1002\/ccd.28974","article-title":"SARS-COV-2 infection presenting as ST-elevation myocardial infarction","volume":"97","author":"Castagna","year":"2021","journal-title":"Catheter Cardiovasc Interv"},{"issue":"7","key":"2025030102030892800_b8-0340104","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1097\/MAT.0000000000001193","article-title":"Extracorporeal Life Support Organization coronavirus disease 2019 interim guidelines: a consensus document from an international group of interdisciplinary extracorporeal membrane oxygenation providers","volume":"66","author":"Shekar","year":"2020","journal-title":"ASAIO J"},{"issue":"6","key":"2025030102030892800_b9-0340104","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1161\/CIRCULATIONAHA.122.062949","article-title":"Extracorporeal membrane oxygenation in the therapy of cardiogenic shock: results of the ECMO-CS randomized clinical trial","volume":"147","author":"Ostadal","year":"2023","journal-title":"Circulation"},{"issue":"4","key":"2025030102030892800_b10-0340104","doi-asserted-by":"publisher","first-page":"70","DOI":"10.21037\/atm.2016.11.47","article-title":"Cannulation techniques for extracorporeal life support","volume":"5","author":"Pavlushkov","year":"2017","journal-title":"Ann Transl Med"},{"issue":"8 Pt A","key":"2025030102030892800_b11-0340104","doi-asserted-by":"publisher","first-page":"2700","DOI":"10.1053\/j.jvca.2021.11.006","article-title":"ECMO in COVID-19 patients: a systematic review and meta-analysis","volume":"36","author":"Bertini","year":"2022","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"2","key":"2025030102030892800_b12-0340104","doi-asserted-by":"publisher","first-page":"e0861","DOI":"10.1097\/CCE.0000000000000861","article-title":"Extracorporeal membrane oxygenation for COVID-19: comparison of outcomes to non-COVID-19-related viral acute respiratory distress syndrome from the Extracorporeal Life Support Organization registry","volume":"5","author":"Chandel","year":"2023","journal-title":"Crit Care Explor"},{"issue":"1","key":"2025030102030892800_b13-0340104","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1177\/02676591221131487","article-title":"Predictors of poor outcome in critically ill patients with COVID-19 pneumonia treated with extracorporeal membrane oxygenation","volume":"39","author":"Pans","year":"2024","journal-title":"Perfusion"},{"key":"2025030102030892800_b14-0340104","unstructured":"NIS overview. 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