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Thoracic Organ Transplantation Committee Fall 2014

Proposal to Collect Extracorporeal Membrane Oxygenation (ECMO) Data When Removing Lung Candidates from Waitlist. Thoracic Organ Transplantation Committee Fall 2014. The Problem. Insufficient data to analyze effect of ECMO on candidates listed for lung transplant

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Thoracic Organ Transplantation Committee Fall 2014

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  1. Proposal to Collect Extracorporeal Membrane Oxygenation (ECMO) Data When Removing Lung Candidates from Waitlist Thoracic Organ Transplantation Committee Fall 2014

  2. The Problem • 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

  3. Goal of the Proposal • 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

  4. How the Proposal will Achieve its Goal • 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)

  5. Supporting Evidence • 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

  6. What Members will Need to Do 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

  7. Questions? • Joe Rogers, MD Committee Chair joseph.rogers@duke.edu • Regional representative name (RA will complete) Region X Representative email address • Liz Robbins Callahan Committee Liaison liz.robbins@unos.org

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