Table 2.
Univariate Analyses for Neonatal Cohort
| Characteristic | Outcome
|
|||
|---|---|---|---|---|
| Death
|
FSSa (among survivors)
|
|||
| Relative risk b (95% CI) | P-value | Effect c (95% CI) | P-value | |
| Indication for ECMOd | 0.03 | 0.29 | ||
| Respiratory | Reference | Reference | ||
| Cardiac | 1.49 (1.11, 1.99) | −0.54 (−1.46, 0.39) | ||
| ECPRe | 1.42 (0.90, 2.25) | −1.04 (−2.60, 0.52) | ||
| Primary diagnosis category | 0.20 | 0.15 | ||
| Respiratory | Reference | Reference | ||
| Cardiovascular/Shock | 1.29 (0.98, 1.71) | −0.73 (−1.57, 0.11) | ||
| Other | 1.34 (0.33, 5.43) | −2.86 (−7.97, 2.25) | ||
| Chronic diagnosis | 1.55 (1.14, 2.10) | <.01 | 1.09 (0.27, 1.90) | <.01 |
| Congenital anomaly or chromosomal defect | 1.30 (0.96, 1.76) | 0.11 | 1.53 (0.47, 2.59) | <.01 |
| Cardiovascular disease | 1.27 (0.96, 1.67) | 0.10 | 0.58 (−0.29, 1.44) | 0.19 |
| Other | 0.94 (0.44, 2.04) | 0.88 | 1.51 (−0.62, 3.63) | 0.17 |
| Mode of ECMO | <.01 | 0.11 | ||
| VAf | Reference | Reference | ||
| VVg | 0.42 (0.21, 0.84) | −0.85 (−1.90, 0.20) | ||
| Neurologic event | 1.57 (1.19, 2.07) | <.01 | 0.98 (0.10, 1.86) | 0.03 |
| Renal organ failure | 1.52 (1.16, 2.00) | <.01 | 1.29 (0.40, 2.18) | <.01 |
| Hepatic organ dysfunction | 1.61 (1.23, 2.11) | <.01 | −0.14 (−1.10, 0.82) | 0.78 |
| Thrombotic event | 1.17 (0.88, 1.55) | 0.28 | 0.75 (−0.11, 1.61) | 0.09 |
| Bleeding event | 1.65 (1.15, 2.35) | <.01 | 0.60 (−0.24, 1.44) | 0.16 |
| Baseline VISh | 0.35 | 0.52 | ||
| None | Reference | Reference | ||
| Low | 0.76 (0.52, 1.10) | 0.41 (−0.73, 1.55) | ||
| High | 0.86 (0.62, 1.19) | 0.64 (−0.46, 1.74) | ||
| Prematurei | 1.87 (1.44, 2.42) | <.01 | −0.62 (−1.97, 0.74) | 0.37 |
| Duration of ECMO (days) | 0.02 | <.01 | ||
| < 2 | 1.64 (1.10, 2.44) | −1.23 (−2.51, 0.06) | ||
| 2– < 4 | 1.00 (0.62, 1.62) | 0.95 (−0.10, 2.00) | ||
| 4– < 9 | Reference | Reference | ||
| ≥9 | 1.54 (1.07, 2.21) | 0.82 (−0.19, 1.84) | ||
| ICU LOS (weeks)j | 0.87 (0.80, 0.95) | <.01 | 0.11 (0.05, 0.18) | <.01 |
| Hospital LOS (weeks) | 0.86 (0.79, 0.93) | <.01 | 0.11 (0.05, 0.16) | <.01 |
| Body habitus | 0.34 | 0.98 | ||
| Underweight | 1.14 (0.80, 1.64) | 0.10 (−1.02, 1.23) | ||
| Normal | Reference | Reference | ||
| Obese | 0.64 (0.27, 1.52) | −0.03 (−1.62, 1.55) | ||
| Baseline lactate (mmol/L) | 1.02 (0.99, 1.04) | 0.19 | 0.04 (−0.06, 0.14) | 0.47 |
| Highest lactate in 24 hours post ECMO initiation (mmol/L) | 1.06 (1.04, 1.08) | <.01 | −0.00 (−0.11, 0.10) | 0.95 |
| Days from ECMO initiation to lactate ≤ 2 mmol/L | 1.08 (0.99, 1.17) | 0.07 | 0.03 (−0.23, 0.29) | 0.82 |
| Lactate ≥ 2 mmol/L achieved | 0.51 (0.39, 0.65) | <.01 | 0.81 (−0.47, 2.10) | 0.22 |
| Lowest pH within 24 hours post ECMO initiation | 0.54 (0.18, 1.63) | 0.28 | 1.26 (−2.08, 4.61) | 0.46 |
| Estimated PRBC in first 24 hours post ECMO initiation (dL/kg)k | 1.10 (1.05, 1.15) | 0.01 | 0.08 (−0.33, 0.49) | 0.71 |
FSS is Functional Status Score;
Mortality was modeled using Poisson regression with robust error estimates;
FSS among survivors was modeled using standard linear regression;
ECMO is extracorporeal membrane oxygenation;
ECPR is extracorporeal cardiopulmonary resuscitation;
VA is venoarterial;
VV is venovenous;
VIS is Vasoactive inotropic score, None is VIS=0, Low is VIS >0 and <20, High is VIS ≥20;
Premature is <37 weeks gestational age at birth;
LOS is length of stay;
PRBC is packed red blood cells