Table 2.
Pre-ECMO Candidate Variables Associated with Hospital Mortality by Univariate Analysis
Pre-ECMO Variables | Odds ratio (90% CI) |
P-value |
---|---|---|
Male vs. female | 01.00 (0.88–1.13) | 0.962 |
Age ≥10 years vs. <10 years | 1.249 (1.08–1.45) | 0.014 |
Year of ECMO | 0.98 (0.96–1.00) | 0.036 |
Veno-venous vs. Veno-arterial ECMOa | 0.52 (0.46–0.58) | <.0001 |
Pre-ECMO therapies | ||
Mechanical ventilation > 14 days | 1.73 (1.37–2.17) | <.0001 |
High frequency ventilation | 1.05 (0.93–1.18) | 0.5435 |
Inhaled nitric oxide | 1.03 (0.91–1.16) | 0.678 |
Neuromuscular blockers | 0.88 (0.77–0.99) | 0.0830 |
Pa02/FiO2 ratio | ||
201–300 vs. >300 mmHg | 1.53 (0.80–2.91) | 0.001 |
101–200 vs. >300 mmHg | 1.95 (1.15–3.31) | * |
≤ 100 vs. > 300 mmHg | 2.53 (1.55–4.13) | * |
pH | ||
pH >7.34 vs. 7.11–7.34 | 0.71 (0.60–0.82) | <.0001 |
pH <7.11 vs. 7.11–7.34 | 1.17 (1.01–1.34) | * |
Primary pulmonary diagnoses | ||
Aspiration | 0.50 (0.34–0.74) | 0.0021 |
Respiratory syncytial virus | 0.60 (0.49–0.74) | <.0001 |
Sepsis induced ARDSb | 1.67 (1.40–1.99) | <.0001 |
Pertussis | 2.34 (1.66–3.28) | <.0001 |
Comorbid conditions | ||
Structural heart disease | 1.05 (0.86–1.29) | 0.681 |
Chronic lung disease | 1.20 (0.86–1.66) | 0.368 |
Immunodeficiency | 1.62 (1.03–2.55) | 0.080 |
Myocarditis | 1.89 (1.11–3.20) | 0.047 |
Pre-ECMO cardiac arrest | 1.63 (1.38–1.92) | <.0001 |
Cancer | 2.20 (1.61–3.00) | <.0001 |
Acute renal failure | 3.24 (2.77–3.79) | <.0001 |
Acute liver necrosis | 12.9 (5.91–28.00) | <.0001 |
Each row of this table represents a separate univariate model. Records with either the vital status or predictor missing were dropped from the analysis. P-values are based on a likelihood ratio.
6% of ventilation duration, 5% of PaCO2 and PaO2, and 1% of sex is missing in the data; less than 1% of other variables are missing.
Veno-arterial was used for any mode using an arterial cannula
Restricted to patients without additional pulmonary infections
ARDS = acute respiratory distress syndrome; ECMO = extracorporeal membrane oxygenation;