Analysis of adverse events related to extracorporeal membrane oxygenation from a nationwide database of patient-safety accidents in Japan.

IF 1.1 4区 医学 Q4 ENGINEERING, BIOMEDICAL
Journal of Artificial Organs Pub Date : 2024-03-01 Epub Date: 2023-02-16 DOI:10.1007/s10047-023-01386-z
Hiroki Hadano, Tadashi Kamio, Kiyomitsu Fukaguchi, Mizuki Sato, Yumiko Tsunano, Hiroshi Koyama
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引用次数: 0

Abstract

Although adverse events related to extracorporeal membrane oxygenation have been reported, epidemiological data on life-threatening events are insufficient to study the causes of such adverse events. Data from the Japan Council for Quality Health Care database were retrospectively analyzed. The adverse events extracted from this national database included events associated with extracorporeal membrane oxygenation reported between January 2010 and December 2021. We identified 178 adverse events related to extracorporeal membrane oxygenation. At least 41 (23%) and 47 (26%) accidents resulted in death and residual disability, respectively. The most common adverse events were cannula malposition (28%), decannulation (19%), and bleeding (15%). Among patients with cannula malposition, 38% did not undergo fluoroscopy-guided or ultrasound-guided cannulation, 54% required surgical treatment, and 18% required trans-arterial embolization. In this epidemiological study in Japan, 23% of the adverse events related to extracorporeal membrane oxygenation had fatal outcomes. Our findings suggest that a training system for cannulation techniques may be needed, and hospitals offering extracorporeal membrane oxygenation should perform emergency surgeries.

Abstract Image

日本全国患者安全事故数据库中与体外膜氧合相关的不良事件分析。
尽管与体外膜氧合相关的不良事件时有报道,但有关危及生命事件的流行病学数据不足以研究此类不良事件的原因。我们对日本医疗质量委员会数据库中的数据进行了回顾性分析。从该国家数据库中提取的不良事件包括2010年1月至2021年12月期间报告的与体外膜氧合相关的事件。我们发现了 178 起与体外膜氧合相关的不良事件。至少有 41 起(23%)和 47 起(26%)分别导致死亡和残留残疾。最常见的不良事件是插管错位(28%)、拔管(19%)和出血(15%)。在插管错位的患者中,38%没有在透视或超声引导下插管,54%需要手术治疗,18%需要经动脉栓塞。在日本的这项流行病学研究中,与体外膜肺氧合相关的不良事件中有 23% 导致死亡。我们的研究结果表明,可能需要建立一个插管技术培训系统,提供体外膜氧合的医院应进行紧急手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Artificial Organs
Journal of Artificial Organs 医学-工程:生物医学
CiteScore
2.80
自引率
15.40%
发文量
68
审稿时长
6-12 weeks
期刊介绍: The aim of the Journal of Artificial Organs is to introduce to colleagues worldwide a broad spectrum of important new achievements in the field of artificial organs, ranging from fundamental research to clinical applications. The scope of the Journal of Artificial Organs encompasses but is not restricted to blood purification, cardiovascular intervention, biomaterials, and artificial metabolic organs. Additionally, the journal will cover technical and industrial innovations. Membership in the Japanese Society for Artificial Organs is not a prerequisite for submission.
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