A Novel, Interpretable Machine Learning Model to Predict Neurological Outcomes Following Venoarterial Extracorporeal Membrane Oxygenation

Rao P, Khalpey Z, Smith R, Burkhoff D, Kociol RD. Venoarterial extracorporeal membrane oxygenation for cardiogenic shock and cardiac arrest. Circ Heart Fail. 2018;11(9): e004905. https://doi.org/10.1161/CIRCHEARTFAILURE.118.004905.

Article  PubMed  Google Scholar 

Zangrillo A, Landoni G, Biondi-Zoccai G, et al. A meta-analysis of complications and mortality of extracorporeal membrane oxygenation. Crit Care Resusc. 2013;15(3):172–8.

PubMed  Google Scholar 

Lorusso R, Barili F, Mauro MD, et al. In-hospital neurologic complications in adult patients undergoing venoarterial extracorporeal membrane oxygenation: results from the extracorporeal life support organization registry. Crit Care Med. 2016;44(10):e964-972. https://doi.org/10.1097/CCM.0000000000001865.

Article  CAS  PubMed  Google Scholar 

Cho SM, Canner J, Chiarini G, et al. Modifiable risk factors and mortality from ischemic and hemorrhagic strokes in patients receiving venoarterial extracorporeal membrane oxygenation: results from the extracorporeal life support organization registry. Crit Care Med. 2020;48(10):e897–905. https://doi.org/10.1097/CCM.0000000000004498.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Schmidt M, Burrell A, Roberts L, et al. Predicting survival after ECMO for refractory cardiogenic shock: the survival after veno-arterial-ECMO (SAVE)-score. Eur Heart J. 2015;36(33):2246–56. https://doi.org/10.1093/eurheartj/ehv194.

Article  CAS  PubMed  Google Scholar 

Akin S, Caliskan K, Soliman O, et al. A novel mortality risk score predicting intensive care mortality in cardiogenic shock patients treated with veno-arterial extracorporeal membrane oxygenation. J Crit Care. 2020;55:35–41. https://doi.org/10.1016/j.jcrc.2019.09.017.

Article  PubMed  Google Scholar 

Smith M, Vukomanovic A, Brodie D, Thiagarajan R, Rycus P, Buscher H. Duration of veno-arterial extracorporeal life support (VA ECMO) and outcome: an analysis of the extracorporeal life support organization (ELSO) registry. Crit Care. 2017;21(1):45. https://doi.org/10.1186/s13054-017-1633-1.

Article  PubMed  PubMed Central  Google Scholar 

Chen WC, Huang KY, Yao CW, et al. The modified SAVE score: predicting survival using urgent veno-arterial extracorporeal membrane oxygenation within 24 hours of arrival at the emergency department. Crit Care. 2016;20(1):336. https://doi.org/10.1186/s13054-016-1520-1.

Article  PubMed  PubMed Central  Google Scholar 

Wengenmayer T, Duerschmied D, Graf E, et al. Development and validation of a prognostic model for survival in patients treated with venoarterial extracorporeal membrane oxygenation: the PREDICT VA-ECMO score. Eur Heart J Acute Cardiovasc Care. 2019;8(4):350–9. https://doi.org/10.1177/2048872618789052.

Article  PubMed  Google Scholar 

Peigh G, Cavarocchi N, Keith SW, Hirose H. Simple new risk score model for adult cardiac extracorporeal membrane oxygenation: simple cardiac ECMO score. J Surg Res. 2015;198(2):273–9. https://doi.org/10.1016/j.jss.2015.04.044.

Article  PubMed  Google Scholar 

Becher PM, Twerenbold R, Schrage B, et al. Risk prediction of in-hospital mortality in patients with venoarterial extracorporeal membrane oxygenation for cardiopulmonary support: the ECMO-ACCEPTS score. J Crit Care. 2020;56:100–5. https://doi.org/10.1016/j.jcrc.2019.12.013.

Article  PubMed  Google Scholar 

Schrutka L, Rohmann F, Binder C, et al. Discriminatory power of scoring systems for outcome prediction in patients with extracorporeal membrane oxygenation following cardiovascular surgery. Eur J Cardio-Thorac Surg. 2019;56(3):534–40. https://doi.org/10.1093/ejcts/ezz040.

Article  Google Scholar 

Ayers B, Wood K, Gosev I, Prasad S. Predicting survival after extracorporeal membrane oxygenation by using machine learning. Ann Thorac Surg. 2020;110(4):1193–200. https://doi.org/10.1016/j.athoracsur.2020.03.128.

Article  PubMed  Google Scholar 

Shou BL, Wilcox C, Florissi I, et al. Early low pulse pressure in VA-ECMO is associated with acute brain injury. Neurocrit Care. 2023;38(3):612–21. https://doi.org/10.1007/s12028-022-01607-y.

Article  PubMed  Google Scholar 

Shou BL, Ong CS, Zhou AL, et al. Arterial carbon dioxide and acute brain injury in venoarterial extracorporeal membrane oxygenation. ASAIO J. 2022;68(12):1501–7. https://doi.org/10.1097/MAT.0000000000001699.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ryu JA, Cho YH, Sung K, et al. Predictors of neurological outcomes after successful extracorporeal cardiopulmonary resuscitation. BMC Anesthesiol. 2015;15:26. https://doi.org/10.1186/s12871-015-0002-3.

Article  PubMed  PubMed Central  Google Scholar 

Al-Kawaz M, Shou B, Prokupets R, Whitman G, Geocadin R, Cho SM. Mild hypothermia and neurologic outcomes in patients undergoing venoarterial extracorporeal membrane oxygenation. J Card Surg. 2022;37(4):825–30. https://doi.org/10.1111/jocs.16308.

Article  PubMed  PubMed Central  Google Scholar 

Shou BL, Ong CS, Premraj L, et al. Arterial oxygen and carbon dioxide tension and acute brain injury in extracorporeal cardiopulmonary resuscitation patients: analysis of the extracorporeal life support organization registry. J Heart Lung Transplant. 2023;42(4):503–11. https://doi.org/10.1016/j.healun.2022.10.019.

Article  PubMed  Google Scholar 

Ong CS, Etchill E, Dong J, et al. Neuromonitoring detects brain injury in patients receiving extracorporeal membrane oxygenation support. J Thorac Cardiovasc Surg. 2023;165(6):2104-2110.e1. https://doi.org/10.1016/j.jtcvs.2021.09.063.

Article  PubMed  Google Scholar 

Subasi MM, Subasi E, Anthony M, Hammer PL. A new imputation method for incomplete binary data. Discrete Appl Math. 2011;159(10):1040–7. https://doi.org/10.1016/j.dam.2011.01.024.

Article  Google Scholar 

Giordano L, Francavilla A, Bottio T, et al. Predictive models in extracorporeal membrane oxygenation (ECMO): a systematic review. Syst Rev. 2023;12(1):44. https://doi.org/10.1186/s13643-023-02211-7.

Article  PubMed  PubMed Central  Google Scholar 

Pladet LCA, Barten JMM, Vernooij LM, et al. Prognostic models for mortality risk in patients requiring ECMO. Intens Care Med. 2023;49(2):131–41. https://doi.org/10.1007/s00134-022-06947-z.

Article  Google Scholar 

Goradia S, Sardaneh AA, Narayan SW, Penm J, Patanwala AE. Vasopressor dose equivalence: a scoping review and suggested formula. J Crit Care. 2021;61:233–40. https://doi.org/10.1016/j.jcrc.2020.11.002.

Article  CAS  PubMed  Google Scholar 

Cho SM, Farrokh S, Whitman G, Bleck TP, Geocadin RG. Neurocritical care for extracorporeal membrane oxygenation patients. Crit Care Med. 2019;47(12):1773–81. https://doi.org/10.1097/CCM.0000000000004060.

Article  PubMed  Google Scholar 

Lee YI, Ko RE, Yang JH, Cho YH, Ahn J, Ryu JA. Optimal mean arterial pressure for favorable neurological outcomes in survivors after extracorporeal cardiopulmonary resuscitation. J Clin Med. 2022;11(2):290. https://doi.org/10.3390/jcm11020290.

Article  PubMed  PubMed Central  Google Scholar 

Comments (0)

No login
gif