Evidence map›Paper›PMID 42396244›Full record

ArticleJournal of intensive medicine2026

Timing of veno-arterial extracorporeal membrane oxygenation in cardiogenic shock: A systematic review and meta-analysis.

Xiang-Kun Yuan, Rui Shi, Lu-Ming Zhang, Xiang-Jie Duan, Li-Jun Li, Hai-Yan Yin, Wan-Jie Gu, Xavier Monnet

Abstract read
In one paragraph

Article in Journal of intensive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xiang-Kun YuanDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Rui ShiDepartment of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Lu-Ming ZhangDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Xiang-Jie DuanDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Li-Jun LiDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Hai-Yan YinDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Wan-Jie GuDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Xavier MonnetService de Médecine Intensive-Réanimation, AP-HP, Hôpital de Bicêtre, DMU 4 CORREVE, Université Paris-Saclay, Le Kremlin-Bicêtre, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in cardiogenic shock has increased, the optimal timing for its initiation is still unclear. This study aimed to evaluate whether early initiation of VA-ECMO in patients with cardiogenic shock is associated with improved outcomes compared with delayed initiation. Methods: This systematic review and meta-analysis was prospectively registered in PROSPERO (CRD42025635381). We searched PubMed, Embase, and the Cochrane Library from their inception to December 11, 2024, to identify published studies that compared early Results: Eight observational studies involving 10,451 patients were included. Early VA-ECMO initiation was associated with reduced short-term mortality compared to delayed initiation (OR=0.74, 95% CI: 0.58 to 0.96, Conclusions: Early initiation of VA-ECMO in patients with cardiogenic shock appears to be associated with reduced short-term mortality without an apparent increase in neurological, bleeding, or ischemic complications. As all included studies were observational, randomized controlled trials are needed to determine the optimal timing and patient selection for VA-ECMO initiation.

Indexed as

Cardiogenic shockMechanical circulatory supportMortalityTimingVA-ECMO

Identifiers

PMID42396244
PMCPMC13323548

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.