Download presentation
Presentation is loading. Please wait.
1
ELSO Registry 2012
2
Original ECMO Registry Report 1988
3
Original Registry Report 1988
Neonatal ECMO Outcomes
4
Original Registry Report 1988
5
Original Registry Report
Calibrating the Learning Curve Improvement up to 30 cases
7
ELSO Centers, 2012 T
8
Euro-ELSO Meeting
9
Overall Patient Outcomes
ELSO Registry July 2012
10
Runs by Year ELSO Registry July 2012
11
Neonatal Respiratory Cases
ELSO Registry July 2012
12
Neonatal Survival by Diagnosis and Year
ELSO Registry July 2012
13
Pediatric Survival by Diagnosis and Year
ELSO Registry July 2012
14
Adult Survival by Diagnosis and Year
ELSO Registry July 2012
15
Initial Mode of Adult Respiratory Support
ELSO Registry July 2012
16
Cardiac Survival by Diagnosis and Year Under 16 years
ELSO Registry July 2012
17
Cardiac Survival by Diagnosis and Year 16 years old and over
ELSO Registry July 2012
18
ELSO Registry Applications
Case questions Overall and specific reports Document trends and progress Identify ECMO centers Epidemic management (H1N1) Center specific, benchmark data Center certification?
21
Benchmarking/Quality Assurance
Center Specific Complications International Summary Complications Neurologic: Seizures: clinically determined 6 1.7% 2 33% Neurologic: CNS infarction by US/CT 5 1.4% 1 20% Neurologic: CNS hemorrhage by US/CT 11 3.0% 9% Renal: Creatinine 140 38.7% 62 44% Renal: Creatinine > 3.0 78 21.5% 28 36% Renal: Dialysis required 63 17.4% 22 35% Renal: Hemofiltration required 85 23.5% 33 39% Total Registry Complications Neurologic: Seizures: EEG determined 12 0.5% 6 50% Neurologic: CNS infarction by US/CT 45 1.9% 9 20% Neurologic: CNS hemorrhage by US/CT 91 3.8% 16 18% Renal: Creatinine 468 19.5% 169 36% Renal: Creatinine > 3.0 316 13.3% 123 39% Renal: Dialysis required 393 16.3% 152 Renal: Hemofiltration required 545 22.7% 270
22
Registry Reports > 200 papers and >20 chapters refer to ELSO Registry > 40 Papers based on Registry Reviews Registry Review : Examples Adult Respiratory Failure:50 % overall survival Brogan, ICM, 2009 Prematurity:IVH 6%, survival 53%<2 kg Romiarek, J Peds Srg, 2004 Post Lung XP: 151 cases 42% survival Fischer, JHLT, 2007 ELSO Registry January 2011
23
Registry Reports Registry Reviews Mechanical Complications:15% cases, related to duration Fleming, PCCM, 2009 Infection: 12% incidence, related to duration Bizzaro, Ped CCM, 2011 Registry Review re Question: Vent days pre ECMO in peds, no effect until 14 d Domico,PedCCM, 2012 VV=VA in CDH Dimmit, JPeds Surg, 2001 ELSO Registry January 2011
24
Registry as a Control Database
Berlin Heart FDA qualifying trial: ECMO Bridge to Pediatric Heart Transplant: ELSO database, 773 Cases, 45% transplanted, 46% survival Almand, Circulaton, 2011 Berlin Heart Study Design, Case matching to ELSO Data, 48 cases EMO survival 60%, BH survival 92% Almand, Am Heart J, 2011 Berlin Heart FDA approved, 2011 ELSO Registry January 2011
25
Registry Prospective Studies
H1N1 Flu epidemic Brief case entry, essential data Brief Case outcome Continuous update during epidemic: Incidence, Age, vent days, obesity, pregnancy, ECLS days , outcome, Guidelines Neonatal follow up at age 18+ Engle, underway ECMOII vs ECMO I Registry committee, underway
26
Peter Rycus Executive Administrator of ELSO Manging Editor of ELSO Publications Manager of the ELSO Registry ELSO Meeting coordinator ELSO Course coordinator Voice of ELSO
28
F:\ECMO\Slide_16.jpgF:\ECMO\Slide_16.jpg Esperanza. The first neonatal ECMO survivor, Bartlett and Gazzaniga 1975 28 28
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.