Post-Discharge Depression Status for Survivors of Extracorporeal Membrane Oxygenation (ECMO): Comparison of Veno-Venous ECMO and Veno-Arterial ECMO

Wan-Jung Lin, Yu-Ling Chang, Li-Chueh Weng, Feng-Chun Tsai, Huei-Chiun Huang, Shu-Ling Yeh and Kang-Hua Chen
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Wan-Jung Lin: Department of Nursing, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei 100, Taiwan
Yu-Ling Chang: School of Nursing, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan
Li-Chueh Weng: School of Nursing, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan
Feng-Chun Tsai: Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan City 333, Taiwan
Huei-Chiun Huang: Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan City 333, Taiwan
Shu-Ling Yeh: Department of Nursing, Chang Gung Memorial Hospital, Taoyuan Branch, Taoyuan City 333, Taiwan
Kang-Hua Chen: School of Nursing, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan

IJERPH, 2022, vol. 19, issue 6, 1-15

Abstract: Extracorporeal membrane oxygenation (ECMO) is one of the common invasive treatments for the care of critically ill patients with heart failure, respiratory failure, or both. There are two modes of ECMO, namely, veno-venous (VV) and veno-arterial (VA), which have different indications, survival rates, and incidences of complications. This study’s aim was to examine whether depression status differed between patients who had received VV-ECMO or VA-ECMO and had been discharged from the hospital. This was a descriptive, cross-sectional, and correlational study of patients who had been discharged from the hospital at least one month after receiving ECMO at a medical center in northern Taiwan from June 2006 to June 2020 ( N = 142). Participants were recruited via convenience and quota sampling. Data were collected in the cardiovascular outpatient department between October 2015–October 2016 ( n = 52) and September 2019–August 2020 ( n = 90). Participants completed the Hospital Anxiety and Depression Scale–Depression (HADS-D) as a measure of depression status. Post-discharge depression scores for patients who received VV-ECMO ( n = 67) was significantly higher ( p = 0.018) compared with participants who received VA-ECMO ( n = 75). In addition, the mode of ECMO was a predictor of post-discharge depression ( p = 0.008) for participants who received VV-ECMO. This study concluded that patients who received VV-ECMO may require greater mental health support. Healthcare professionals should establish a psychological clinical care pathway evaluated by multiple healthcare professionals.

Keywords: cross-sectional design; extracorporeal membrane oxygenation; veno-arterial; veno-venous; cardiac failure; respiratory failure; depression status; mental health support (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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