Document Type

Article

Publication Date

11-2019

Publisher

Elsevier

Source Publication

Heart & Lung

Source ISSN

0147-9563

Original Item ID

DOI: 10.1016/j.hrtlng.2019.08.016

Abstract

Background: Extracorporeal membarane oxygenation (ECMO), a rescue  treatment for patients with severe pulmonary and/or cardiac dysfunction, is increasingly being used worldwide. A better understanding of long-term health-related quality of life (HRQOL) is needed.

Objective: To synthesize research on long-term (at least 6 months post-ECMO) HRQOL of adults treated with ECMO.

Methods: In this integrative review, we searched 3 electronic databases and did a hand search of relevant journals for articles published 2000–2019, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: Thirty-one studies, representing 913 patients treated with ECMO, were included. Long-term HRQOL was slightly better for patients treated with veno-venous ECMO than veno-arterial ECMO, and mental health outcomes tended to be better than physical ones. Survivors frequently experienced physical complications, functional limitations, anxiety, depression, and post-traumatic stress symptoms, although improvements were observed over time.

Conclusions: Early identification and management of physical and mental health problems may improve HRQOL outcomes.

Comments

Accepted version. Heart & Lung, Vol. 48, No. 6 (November-December 2019): 538-552. DOI. © 2019 Elsevier Inc. Used with permission.

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