Table 1.
Neonatal (n = 30,909, N = 197) |
Pediatric (n = 14,725, N = 235) |
Adult (n = 10,588, N = 214) |
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Annual Hospital ECMO Volume Categories | 1–5 | 6–14 | 15–30 | >30 | 1–5 | 6–14 | 15–30 | >30 | 1–5 | 6–14 | 15–30 | >30 |
Number of patients | 2,718 | 10,726 | 12,770 | 4,695 | 3,477 | 5,956 | 4,709 | 583 | 1,243 | 1,790 | 2,800 | 4,755 |
Type of ECMO support, % |
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Respiratory | 74 | 77 | 80 | 87 | 48 | 39 | 39 | 39 | 57 | 54 | 51 | 44 |
Cardiac | 23 | 20 | 17 | 11 | 46 | 49 | 41 | 34 | 33 | 39 | 39 | 41 |
ECPR | 3 | 3 | 4 | 2 | 7 | 12 | 20 | 26 | 10 | 7 | 10 | 16 |
Pre-ECMO characteristics, % |
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Female | 43 | 42 | 41 | 42 | 48 | 48 | 47 | 46 | 42 | 38 | 37 | 35 |
Acute renal failure | 1 | 1 | 1 | 1 | 2 | 2 | 2 | 2 | 4 | 6 | 4 | 4 |
Comorbid condition* | 4 | 3 | 3 | 2 | 10 | 10 | 12 | 15 | 18 | 18 | 17 | 12 |
Pre-ECMO characteristics, median |
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Age, d | 2 | 2 | 1 | 1 | ||||||||
Age, yr | 0 | 1 | 1 | 1 | 35 | 48 | 49 | 51 | ||||
pH† | 7.28 | 7.29 | 7.32 | 7.38 | 7.30 | 7.28 | 7.27 | 7.24 | 7.25 | 7.25 | 7.26 | 7.29 |
PF ratio† | 38 | 39 | 39 | 39 | 57 | 60 | 63 | 63 | 61 | 63 | 63 | 75 |
Pre-ECMO hours of mechanical ventilation | 26 | 26 | 24 | 22 | 34 | 24 | 24 | 25 | 23 | 22 | 20 | 17 |
Definition of abbreviations: ECMO = extracorporeal membrane oxygenation; ECPR = ECMO during cardiopulmonary resuscitation; n = number of patients; N = number of centers; pH = arterial blood pH; PF ratio = the ratio of arterial partial pressure of oxygen to fraction of inspired oxygen; pre-ECMO hours of mechanical ventilation = the number hours of mechanical ventilation a patient received prior to ECMO cannulation.
Comorbid conditions were defined as present or absent using definitions described in the literature for neonates (46), pediatrics (47), and adults (48).
Most abnormal value recorded within 6 h of receipt of ECMO support.