Table 1
Characteristics of survivors and non-survivors to hospital discharge.
Characteristics | All cohort (n = 161) | Survivors to hospital discharge (n = 58, 36%) | Non-survivors to hospital discharge (n = 103, 64%) | p-value |
---|---|---|---|---|
Demographic data | ||||
Age (years)a | 0.11 (0.02, 1.24) | 0.1 (0, 0.9) | 0.1 (0, 1.5) | 0.238 |
Age groupb | 0.973 | |||
Neonate (≤30 days) | 78 (48.1) | 28 (48.3) | 50 (48.5) | |
Pediatric | 83 (51.5) | 30 (51.7) | 53 (51.5) | |
Weight (kg)a | 4.06 (3, 9.36) | 4.2 (3.3, 8.6) | 4 (3, 10.4) | 0.805 |
Height (cm)a | 62.5 (49, 95.3) | 59.5 (51, 73) | 65.8 (49, 107.4) | 0.491 |
BSA (m2)a | 0.31 (0.21, 0.62) | 0.3 (0.2, 0.5) | 0.4 (0.2, 0.7) | 0.661 |
Genderb | 0.232 | |||
Female | 63 (39.6) | 19 (32.8) | 44 (44) | |
Male | 95 (59) | 39 (67.2) | 56 (56) | |
Raceb | 0.854 | |||
Caucasian | 91 (56.5) | 32 (55.2) | 59 (57.3) | |
African-American | 27 (16.7) | 11 (19) | 16 (15.5) | |
Other | 43 (26.8) | 15 (25.8) | 28 (27.2) | |
Diagnostic groupb | 0.055 | |||
CHD | 125 (77.2) | 49 (84.5) | 76 (73.8) | |
Heart failure | 36 (22.3) | 9 (15.5) | 27 (26.2) | |
Heart transplantb | 10 (6.2) | 3 (5.2) | 7 (6.8) | 0.681 |
Pre-ECMO data and support | ||||
Ventilator supportb | <0.001 | |||
Conventional | 94 (79.7) | 33 (73.3) | 60 (83.3) | |
HFOV | 13 (11) | 11 (24.4) | 2 (2.8) | |
Other | 11 (6.8) | 1 (2.2) | 10 (13.9) | |
Pre ECMO arrestb | 63 (39) | 17 (29.3) | 46 (45.1) | 0.044 |
Oxygenation indexa | 35 (14, 55) | 39 (23, 57) | 32.5 (10.5, 51) | 0.154 |
Mean BP (mmHg)a | 41.5 (32, 53) | 42 (32, 53) | 41 (31.5, 52.5) | 0.918 |
FiO2 need (%)a | 100 (87, 100) | 100 (91, 100) | 100 (82, 100) | 0.507 |
pHa | 7.2 (7.05, 7.32) | 7.2 (7.1, 7.3) | 7.2 (7, 7.3) | 0.485 |
CPBb | 63 (39) | 27 (46.6) | 36 (35) | 0.232 |
VADb | 10 (6.2) | 4 (6.9) | 6 (5.8) | 0.768 |
RRTb | 2 (1.2) | 0 (0) | 2 (1.9) | 0.540 |
Nitric oxideb | 56 (34.7) | 24 (41.4) | 32 (31.1) | 0.325 |
ECMO data | ||||
ECMO modeb | 0.843 | |||
Veno-arterial | 153 (94.4) | 55 (94.8) | 97 (94.2) | |
Veno-venous | 7 (4.3) | 2 (3.4) | 5 (4.9) | |
Unknown | 2 (1.2) | 1 (1.7) | 1 (1) | |
ECMO typeb | 0.269 | |||
Cardiac | 114 (70.4) | 42 (72.4) | 72 (69.9) | |
Pulmonary | 10 (6.2) | 5 (8.6) | 5 (4.9) | |
ECPR | 38 (23.5) | 11 (19) | 26 (25.2) | |
Cannula locationb | 0.396 | |||
Central | 97 (60.6) | 37 (63.8) | 60 (59.4) | |
Peripheral | 63 (39.4) | 21 (36.2) | 41 (40.6) | |
Cardiac indexa | 1.97 (1.57, 2.47) | 2 (1.5, 2.4) | 1.9 (1.6, 2.5) | 0.853 |
Outcomes and complications | ||||
ECMO duration (h)a | 130.5 (73, 218) | 105.5 (81, 161) | 137 (53, 312) | 0.222 |
LOS (days)a | 29 (16.5, 53.5) | 43.5 (29, 109) | 23 (11, 36) | <0.001 |
MV duration (h)a | 356 (172, 654) | 387 (240, 721) | 315 (125, 580) | 0.01 |
Complication typeb | ||||
Cardiovascular | 71 (43.8) | 15 (25.9) | 56 (54.4) | <0.001 |
Hemorrhagic | 78 (48.1) | 18 (31) | 60 (58.3) | 0.001 |
Infectious | 12 (7.4) | 1 (1.7) | 11 (10.7) | 0.127 |
Limb | 4 (2.5) | 0 (0) | 4 (3.9) | 0.322 |
Mechanical | 53 (32.7) | 11 (19) | 42 (40.8) | 0.006 |
Metabolic | 41 (25.3) | 8 (13.8) | 33 (32) | 0.017 |
Neurologic | 35 (21.6) | 6 (10.3) | 29 (28.2) | 0.012 |
Respiratory | 44 (27.2) | 6 (10.3) | 38 (36.9) | <0.001 |
Renal | 73 (45.1) | 19 (32.8) | 54 (52.4) | 0.023 |
BP: blood pressure, BSA: body surface area, CHD: congenital heart disease, CPB: cardiopulmonary bypass, ECMO: extracorporeal membrane oxygenation, ECPR: extracorporeal cardiopulmonary resuscitation, FiO2: fraction of inspired oxygen, HFOV: high-frequency oscillatory ventilation, h: hours, LOS: length of stay, MV: mechanical ventilation, RRT: renal replacement therapy, VAD: ventricular assist device.
Heart failure includes cardiomyopathy, myocarditis, and heart transplant.
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