Kurihara C, et al. - Researchers conducted this current analysis in order to determine the predictive ability of the Model for End-Stage Liver Disease (MELD) scoring system for clinical outcomes in patients who underwent veno-venous extracorporeal membrane oxygenation (VV ECMO). Further, they examined patients supported with VV ECMO for the incidence of morbidity including acute kidney injury (AKI), gastrointestinal bleeding (GI bleeding), pump malfunction, oxygenator dysfunction. From an institutional ECMO database, they identified 71 patients who underwent VV ECMO implantation from January 2015 through February 2019. Of these patients, 50 had a MELD score < 12 and 21 had MELD score ≥ 12. A higher postoperative mortality rate was observed among patients with a MELD score ≥ 12 vs those with a lower MELD score. Findings thereby suggest the utility of MELD scoring system for predicting outcomes in advanced respiratory failure patients who undergo VV ECMO implantation.