Extracorporeal Life Support Organization

Thank you for helping ELSO disseminate information by entering your experience in the ELSO Registry as soon as ECMO is implanted - before the run is complete. Instructions for entering data in the Registry and COVID-19 addendum can be found on the Data Definitions page.

We recognize you cannot complete and submit the entire ELSO Registry case report form prior to completion of the ECMO run and discharge from the hospital, but we would still like to have the data you know now.

To address concerns about incomplete data we report three nested data sets to accommodate the fact that different patients will be at different stages of care (and thus have more or less incomplete data). Also when considering the data please understand that the data displayed is a real-time data stream and subject to change as more patient information is accrued and as centers update the ELSO Registry Case Report Form and the ELSO COVID-19 addendum.


COVID-19 Cases on ECMO in the ELSO Registry

COVID-19
Suspected or Confirmed
2137
COVID-19
Confirmed Cases
2128
COVID-19
Discharged Alive
837/1501 (55%)
Total counts of COVID-19 confirmed patients and count of COVID-19 suspected but not confirmed by testing.

COVID-19 ECMO counts by ELSO Chapter

Total (n) Still on ECMO Completed ECMO Discharged alive/dead Transferred out on ECMO
All ELSO 2137 359 1778 1584 13
          North America 1340 237 1103 992 9
          Europe 535 60 430 430 3
          Asia Pacific 41 6 35 27 0
          Latin America 92 32 60 45 0
          SWAAC 129 24 105 90 1
* not reporting cases where n < 5
Reports counts of ECMO-supported suspected or confirmed COVID-19 cases by ELSO Chapter (provided the chapter has at least 5 cases reported)

Filters affect the data shown in the tables below:

Region

Patient Age



COVID-19 ECMO Statistics, for all cases including those still on ECMO

Statistics Counts (n) Range
cases 2137 25th Percentile 75th Percentile
Age, years (median) 48 2137 39 56
Male 1555 (72%) 2137
Weight, kg (median) 92 2028 79 108
Intubation to ECMO, hours (median) 86 2137 30 150
ECMO Support Type
          Respiratory 2032 (95%) 2137
          Cardiac 80 (3%) 2137
          ECPR 25 (1%) 2137
ECMO Mode
          VV 1951 (91%) 2137
          VA 86 (4%) 2137
          VVA 15 (0%) 2137
          Conversion 77 (3%) 2137
Positve end expiratory pressure (median) 14 cm H2O 1662 12 16
PF ratio (median) 71 1690 59 94
Co-Morbidity
          Patients with asthma 198 (9%) 2137
          Patients with diabetes 545 (25%) 2137
          Patients with obesity 956 (44%) 2137
          Chronic Renal Insufficiency 46 (2%) 2137
Patients still on ECMO 359 (16%) 2137
This section includes all patients with confirmed or suspected COVID-19 entered into the ELSO Registry and ELSO COVID-19 addendum. These patients can be (a) still on their ECMO run, (b) off ECMO and still hospitalized or (c) discharged alive or dead from the hospital.
 

COVID-19 ECMO Statistics, for all cases that have completed their ECMO run

Statistics Counts (n) Range
cases 1778 25th Percentile 75th Percentile
ECMO run time, hours (median) 322.50 1778 182 544
Stroke 17 (0%) 1778
Intracranial Hemorrhage 99 (5%) 1778
Renal Failure 443 (24%) 1778
Patients off ECMO and still in Hospital 184 (10%) 1778
This section includes the subset of patients from above who either (b) completed their first ECMO run and are still hospitalized or (c) were discharged alive or dead from the hospital. For these patients we can report ECMO run time and ECMO complications.
 

COVID-19 ECMO Statistics, for only cases those cases discharged from the hospital

Statistics Counts (n) Range
cases 1501 25th Percentile 75th Percentile
Discharged alive* 837 (55%) 1501
Length of hospital Admission, days (median) 29.00 1501 18 43
Length of intubation, days (median) 4.00 1501 1 6
*Does not include the patients Discharged on ECMO - 11 (0%)
This section includes the subset of patients from above who have (c) completed their ECMO run AND been discharged alive or dead from the hospital AND their record has been completed and submitted to the ELSO Registry. For this table we can report survival, length of hospital stay and length of intubation.

ELSO Ownership, No Rights to Publication, Disclaimer

The Dashboard content has been compiled and reported from a variety of sources, is not independently verified by ELSO, and is subject to change without notice. ELSO and its authorized agents and contractors make no representations or warranties about the quality, content, completeness, suitability, adequacy, sequence, accuracy, or timeliness of such content. ELSO disclaims any responsibility for any inaccuracy, whether by inclusion or omission, on the Dashboard or the Site, and disclaims any responsibility for subsequent change or withdrawal of data shown on the Dashboard or the Site, which is subject to alteration without notice. ELSO disclaims any and all warranties regarding this information and all liability whatsoever relating thereto. Any person who uses information obtained from this Dashboard does so at his or her own risk.

The Dashboard is provided as a public service to facilitate real-time sharing of information during the COVID-19 crisis for educational purposes only by health practitioners. ELSO owns the compilation of all data, and its use or publication by any third party is strictly forbidden. Publication or representation of this information as if it were statistically significant or part of a scientific study is irresponsible and misleading.