Table 1. Retrospective studies on paediatric ECMO and open lung biopsies.
Series | Sebire, 2005 [27] | Eulmesekian, 2005 [25] | Inwald, 2004 [23] | Tibbals, 2002 [26] | Cassidy, 2002 [22] | Ryan, 1998 [28] | Bond, 1996 [29] |
---|---|---|---|---|---|---|---|
Method | Retrospective study, UK |
Retrospective study, single institution, UK |
Retrospective study, single institution, UK |
Retrospective study, single institution, Australia |
Retrospective study, 4 ECMO centers, UK |
Extracorporeal Life Organization Registry (ELSO) |
Retrospective study, single institution, Kentucky |
Period of time | 7 years (1996-2003) | 6 years (1997-2002) | 6 years (1996-2002) | 18 years (1982-2000) | 3 years (1997-2000) 2,132,525 infants born in the UK |
8 years (1986-1994) | 6 years (1989-1995) |
Ascertainment | children receiving ECMO in whom open lung biopsy was carried out |
neonates with histological proven ACD/MVP and review of all ECMO and/or open lung biopsy cases |
children referred for and placed on ECMO who also underwent open lung biopsy (before or during ECMO) |
infants admitted to a paediatric intensive care with a diagnosis of PPHN |
full term neonates with acute hypoxemic respiratory failure treated with ECMO |
newborns who had open lung biopsies while receiving ECMO |
all neonatal and paediatric patients who had an open lung biopsy while on ECMO |
ECMO | 22 children | 9 neonates | 506 referred and 310 patients placed on ECMO, of whom 136 neonates |
13 neonates | 173 neonates | 6000 neonatal ECMO | 213 patients |
Open lung biopsy | 12 neonates | 10 neonates | 15/506 patients 8/136 neonates |
N/A | 5/173 neonates | 18/6000 neonates | 8/213, of whom 4 neonates |
Number of alveolar capillary dyplasia (ACD) |
3/12 ACD | 7 ACD | 3/8 ACD | 6/13 ACD | 5/173 ACD | 2/18 ACD | 0/4 ACD |
ACD mortality | N/A | 7/7 | 3/3 | 6/6 | 5/5 | 2/2 | N/A |
Global mortality in the series |
N/A | 7/7 | N/A | 7/13 (54%) | 36/173 (20%) | N/A | N/A |
Premortem diagnosis of ACD |
N/A | 6/7 | N/A | 2/6 | 3/5 | N/A | N/A |
Autopsy rate | N/A | N/A | N/A | 100% (7/7) | 56% | N/A | N/A |
PPHN= persistent pulmonary hypertension of the newborn, ECMO= extracorporeal membrane oxygenation, N/A= not available or not applicable