Investigation and analysis of extracorporeal membrane oxygenation development in Hebei Province

Song Haojie; Sun Yiqing; Tian Yingping; Gao Hengbo; Yao Dongqi; Liu Liang; Lv Baopu; Xiao Hao; Meng Qingbing; Zheng Tuokang; Zhang Rui; Cui Xiaolei

doi:10.13498/j.cnki.chin.j.ecc.2024.04.03

Abstract：Objective To investigate the development of extracorporeal membrane oxygenation(ECMO)in Hebei Province over the past five years.Methods The Extracorporeal Life Support Committee of Hebei Medical Association conducted telephone follow-up with committee members and hospital center leaders from various regions in the province from January 1st to January 20th,2024,to collect information on the development of ECMO over the past 5 years.Results Over the past 5 years,the number of ECMO centers has increased from 8 to 31,the annual number of cases has increased from 65 to 489,and the number of ECMO machines has increased from 28 to 100.In 2023,there were a total of 47 departments conducting ECMO,including 18 in the emergency ICU(EICU),21 in the ICU,3 in the coronary care unit(CCU),2 in the respiratory ICU(RICU),and 3 in the cardiac surgery.The hospitalization survival rate of patients with pulmonary and cardiac support has shown a downward trend in the past 5 years,with the lowest in 2022 and an increase in 2023 compared to 2022.The overall survival rate of patients undergoing extracorporeal cardiopulmonary resuscitation(ECPR)has shown an upward trend.In 2023,the survival rate of adult ECMO patients with different indications was relatively low,with hospitalization survival rates of 41.7%for pulmonary support patients,36.4%for cardiac support patients,and 17.9%for ECPR patients.In 2023,a total of 489 cases of ECMO were carried out in 11 cities,the city with the highest number of cases was 274,while the city with the lowest number of cases was 11.The city with the highest survival rate of ECMO was 51.7%,and the city with the lowest survival rate was 9%.Conclusion Over the past five years,the number of ECMO technology development centers and cases in Hebei Province have significantly increased compared to before.However,there is still an imbalance in development among different regions,and the survival rate is relatively low compared to international and domestic levels.It is necessary to further improve the three-level medical ECMO treatment network,strengthen training and quality control,and promote the development of ECMO technology in Hebei Province.