Characteristics |
All cohort ( n = 161 ) |
Survivors to hospital |
discharge ( n = 58 , 36 %) |
Demographic data |
||||
Age ( years ) a |
0.11 ( 0.02 , 1.24 ) |
0.1 ( 0 , 0.9 ) |
0.1 ( 0 , 1.5 ) |
0.238 |
Age group b |
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 ( m 2 ) a |
0.31 ( 0.21 , 0.62 ) |
0.3 ( 0.2 , 0.5 ) |
0.4 ( 0.2 , 0.7 ) |
0.661 |
Gender b |
0.232 |
|||
Female |
63 ( 39.6 ) |
19 ( 32.8 ) |
44 ( 44 ) |
|
Male |
95 ( 59 ) |
39 ( 67.2 ) |
56 ( 56 ) |
|
Race b |
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 group b |
0.055 |
|||
CHD |
125 ( 77.2 ) |
49 ( 84.5 ) |
76 ( 73.8 ) |
|
Heart failure |
36 ( 22.3 ) |
9 ( 15.5 ) |
27 ( 26.2 ) |
|
Heart transplant b |
10 ( 6.2 ) |
3 ( 5.2 ) |
7 ( 6.8 ) |
0.681 |
Pre-ECMO data and support |
||||
Ventilator support b |
< 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 arrest b |
63 ( 39 ) |
17 ( 29.3 ) |
46 ( 45.1 ) |
0.044 |
Oxygenation index a |
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 |
pH a |
7.2 ( 7.05 , 7.32 ) |
7.2 ( 7.1 , 7.3 ) |
7.2 ( 7 , 7.3 ) |
0.485 |
CPB b |
63 ( 39 ) |
27 ( 46.6 ) |
36 ( 35 ) |
0.232 |
VAD b |
10 ( 6.2 ) |
4 ( 6.9 ) |
6 ( 5.8 ) |
0.768 |
RRT b |
2 ( 1.2 ) |
0 ( 0 ) |
2 ( 1.9 ) |
0.540 |
Nitric oxide b |
56 ( 34.7 ) |
24 ( 41.4 ) |
32 ( 31.1 ) |
0.325 |
ECMO data |
||||
ECMO mode b |
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 type b |
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 location b |
0.396 |
|||
Central |
97 ( 60.6 ) |
37 ( 63.8 ) |
60 ( 59.4 ) |
|
Peripheral |
63 ( 39.4 ) |
21 ( 36.2 ) |
41 ( 40.6 ) |
|
Cardiac index a |
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 type b 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 |