44
ADVANCED HEART FAILURE
EXTRACORPOREAL LIFE SUPPORT
Baylor University Medical Center is one of the busiest programs in the nation for extracorporeal membrane oxygenation , or ECMO . This labor-intensive treatment is amplified by the multidisciplinary team of specialists with extensive training in this procedure . The partnered approach between cardiovascular surgery , cardiology , vascular surgery , pulmonology , and critical care increases the quality of care of these acute patients backed by ECMO nurses and perfusionists .
The Extracorporeal Life Support Organization ( ELSO ) awarded Baylor Dallas the 2021 Platinum designation — one of only 13 adult facilities in the United States to earn the prestigious honor . The program at Baylor Dallas is in its 11th year and has 17 ECMO machines . The Platinum recognition is based on patient volume — Baylor Dallas has supported nearly 1,000 patients with ECMO — and , more importantly , outcomes and quality improvement .
However , it is not just numbers that sets the program at Baylor Dallas apart . The program also distinguishes itself by being :
• The first hospital in the Dallas – Fort Worth area to provide ECPR in the emergency room , which makes it a primary destination for EMS services transporting these patients who suffer from out-ofhospital cardiac arrest
• One of the only medical centers in the region with a mobile ECMO team , that can go to other hospitals , put a patient on ECMO and transfer them back to Baylor Dallas
• A heart and lung transplant center that offers ECMO to bridge patients to and from lifesaving procedures
ECMO support volume
CALENDAR YEAR
TOTAL ECMO CASES 2021 157 2020 154 2019 123
ECMO transports
CALENDAR YEAR
For ECMO inclusion and exclusion criteria , download the Baylor Heart
Center app on your iOS device .
TOTAL ECMO CASES 2021 26 2020 15
2019 33
Total non-COVID-19 ECMO indications count for Baylor Dallas ( FY22 )
ECPR :
36
Cardiac :
45
Pulmonary : 23
ECMO is a lifesaving treatment for the sickest patients after other options have been exhausted . Many facilities are turning to ECMO to treat acute patients suffering from the coronavirus . Baylor University Medical Center cared for COVID-19 positive patients on ECMO with a 56 % survival rate better than the 50 % international rate . After treatment , patients may experience a prolonged recovery journey and a referral to cardiac rehabilitation .
ECMO survival rate
INTERNATIONAL RATE : PATIENTS WITH COVID-19
BAYLOR DALLAS RATE : PATIENTS WITH COVID-19
50 % 56 %
BETTER , SAME OR WORSE THAN INTERNATIONAL ELSO REGISTRY RATE
BETTER
INTERNATIONAL RATE : ECPR PATIENTS
BAYLOR DALLAS RATE : ECPR PATIENTS
BETTER , SAME OR WORSE THAN INTERNATIONAL ELSO REGISTRY RATE
30 % 44.4 %
BETTER
Extracorporeal Life Support Organization ’ s ( ELSO ) registry data reflects patients with discharge disposition for timeframe April 1 , 2021 through June 30 , 2022 .