Quality of Life of Adult Survivors After Extra Corporeal Membrane Oxygenation (ECMO): A Quantitative Study

Dimens Crit Care Nurs. 2018 Jan/Feb;37(1):12-17. doi: 10.1097/DCC.0000000000000278.

Abstract

Introduction: Extracorporeal Membrane Oxygenation (ECMO) is a technique used in the treatment of patients with severe respiratory failure. A lot of studies in the literature investigated the survival rate of patients treated with ECMO, but few are those that assess the long-term outcomes and the quality of life (QoL) of survivors.

Materials and methods: A retrospective observational study with prospective QoL assessment through administration of the questionnaire EuroQol-5 Dimension was conducted in acute respiratory distress syndrome patients who h ad ECMO as a rescue therapy for reversible refractory hypoxemia from January 2013 until December 2015 in an Italian referral ECMO center.

Results: Forty patients were enrolled, but the telephone interview was possible only in 17. The interviewed patients presented a reduction in QoL in the items concerning pain (59%), followed by problems regarding mobility (47%) and anxiety (47%). The patients' perceived QoL, showed in a 0 to100 scale (0 being the worst, 100 being the best value), is of 75% (interquartile range, 70-80).

Discussion: The problems found are in agreement with the literature about this particular type of patients.

Conclusion: Most ECMO patients have good physical and social functioning after hospital discharge.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Extracorporeal Membrane Oxygenation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Respiratory Distress Syndrome / therapy*
  • Retrospective Studies
  • Surveys and Questionnaires
  • Survivors*
  • Treatment Outcome