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.
p value from univariate logistic regression.
p value from multivariable logistic regression.