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Proposal to Collect Extracorporeal Membrane
Oxygenation (ECMO) Data When Removing Lung Candidates from
Waitlist
Thoracic Organ Transplantation Committee Fall 2014
Insufficient data to analyze effect of ECMO on candidates listed for lung transplant
ECMO use currently only reported at time of registration at time of transplant
The Problem
Collect ECMO data from a contemporary cohort of lung transplant candidates
Analyze ECMO data
Determine if ECMO should be a variable in the LAS calculation
Goal of the Proposal
Modify candidate removal page in WaitlistSM to include fields for ECMO/mechanical ventilatory support data Dates of cannulation/intubation and
decannulation/extubation Site of cannulation Ambulation status Type of ECMO (VA or VV)
How the Proposal will Achieve its Goal
Growing use of ECMO as bridge to transplant
Correlation between high LAS at transplant and ECMO use
Conflicting retrospective studies regarding relationship between ECMO use and post-transplant outcomes
Supporting Evidence
Transplant Programs must:
Report whether a candidate was supported by invasive mechanical ventilation or ECMO
If yes, report information for additional data fields for each lung candidate you remove from WaitlistSM
What Members will Need to Do
Joe Rogers, MD Committee Chair [email protected]
Regional representative name (RA will complete) Region X Representative email address
Liz Robbins Callahan Committee Liaison [email protected]
Questions?
