Patients with COVID-19 can develop pneumonia that leads to acute respiratory distress syndrome requiring invasive care such as extracorporeal membrane oxygenation (ECMO). Although reported mortality is high (39%) for patients with COVID-19 undergoing ECMO, it is not clear what other factors may be associated with this outcome.

Using a national database, Gallegos-Koyner and colleagues matched comorbidities and socioeconomic factors and compared outcomes between patients with COVID-related pneumonia and those with non–COVID-19 pneumonia who were treated with ECMO. They found the following:

  • Patients in both groups were similar in age (45–46 years) and mostly male.

  • Those with COVID-19 had higher mortality, longer stays, higher hospital costs, and less likelihood of being discharged home.

Findings show that patients with COVID-19 undergoing ECMO had poorer outcomes than patients with non–COVID-19 pneumonia undergoing ECMO.

See Article, pp 104–110

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