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. Author manuscript; available in PMC: 2016 Mar 1.
Published in final edited form as: Pediatr Crit Care Med. 2015 Mar;16(3):276–288. doi: 10.1097/PCC.0000000000000345

TABLE 4.

Risk Factors for CNS Hemorrhage or Hemorrhagic Death in Cardiac Medical Patients

Characteristics Unadjusted Adjusted


OR 95% CI pa OR 95% CI pb
Male sex 1.20 0.81–1.81 0.37

Race
 Caucasian Ref Ref
 African American 0.97 0.55–1.64 0.04 1.10 0.63–1.92 0.09
 Asian 0.54 0.16–1.36 0.86 0.29–2.53
 Hispanic 1.57 0.88–2.69 1.66 0.91–3.02
 Other 2.34 1.10–4.61 2.46 1.19–5.10

Age group
 Neonate (0–28 d) 2.34 1.49–3.74 0.0003 1.60 0.91–2.80 0.12
 Infant (29–365 d) 1.16 0.65–2.05 0.95 0.51–1.80
 Child (366 d to 18 yr) Ref Ref

Cardiac diagnosis
 CHD 1.54 1.04–2.30 0.03 1.60 0.98–2.61 0.06
 Non-CHD Ref Ref

Genetic anomaly 1.32 0.25–4.49 0.72

Pre-ECMO
 Pre-ECMO support
  Pressor support 1.44 0.80–2.82 0.25
  Cardiac mechanical support 0.44 0.0–2.07 0.39
  Pulmonary vasodilatory support 2.16 1.38–3.31 0.0004 1.56 0.96–2.52 0.07
  Systemic afterload reduction 1.02 0.65–1.56 0.95
  Steroids 1.78 0.44–5.35 0.30
  Bicarbonate 1.36 0.86–2.10 0.18
 Pre-ECMO re-exploration for bleeding/mediastinal exploration 1.26 0.03–9.56 0.57

On ECMO
 Duration of ECMO, hr 0.61
  < 128 (< 50th percentile) Ref
  128–219 (50th to 75th percentile) 0.78 0.46–1.27
  ≥219 (> 75th percentile) 0.97 0.60–1.55
 ECMO mode 0.66
  Venoarterial 0.74 0.17–6.79
  Venovenous or other Ref
 Cannulation site 0.01 0.02
  Chest Ref Ref
  Neck 1.77 1.10–2.99 2.13 1.24–3.68
  Groin or other 0.61 0.18–1.65 1.10 0.34–3.58

OR = odds ratio, Ref = reference category, CHD = congenital heart disease, ECMO = extracorporeal membrane oxygenation.

a

p value from univariate logistic regression.

b

p value from multivariable logistic regression.