Table 1.
Patient Information | Overall Rate (n=278) | Proband exome (n=176, 63%) | Trio exome (n=39, 14%) | Critical trio exome (n=63, 22%) | p value*** (critical trio exome vs the rest) | ||
---|---|---|---|---|---|---|---|
Demographic | Patient age (days) Median ± sem* | 28.5±1.7 | 29.0±2.2 | 31.5±3.9 | 22.7±3.9 | 0.521667 | |
Number and percentage of patients in ICU | 251/278 (90.3%) | 156/176 (88.6%) | 34/39 (89.5%) | 61/63 (96.8%) | 0.052420 | ||
Exome sequencing | Exome sequencing diagnosis (number and percentage) | 102/278 (36.7%) | 57/176 (32.4%) | 13/39 (33.3%) | 32/63 (50.8%) | 0.011226 | |
TAT (days) Median ± sem | 73.1±2.1 | 95.0±1.5 | 51.1±3.2 | 13.0±0.4 | <0.00001 | ||
Medical impact | ICU stay length (days) Median ± sem | Diagnosed | 29.5±5.1 | 28.0±6.3 | 32.0±14.3 | 42.5±10.2 | 0.112285 |
Undiagnosed ** | 38.5±4.6 | 41.0±5.8 | 35.0±6.9 | 31.0±13.4 | 0.834061 | ||
5-year death rate (number and percentage) | Diagnosed | 39/102 (38.2%) | 27/57 (47.4%) | 2/13 (15.4%) | 10/32 (31.3%) | 0.384029 | |
Undiagnosed | 41/170 (24.1%) | 30/117 (25.6%) | 3/25 (12.0%) | 8/28 (28.6%) | 0.629165 | ||
120-day death rate (number and percentage) | Diagnosed | 30/102 (29.4%) | 18/57 (31.6%) | 2/13 (15.4%) | 10/32 (31.3%) | 0.817358 | |
Undiagnosed | 28/170 (16.5%) | 21/117 (17.9%) | 1/25 (4.0%) | 6/28 (21.4%) | 1 | ||
In diagnosed patients with exome sequencing | Age at diagnosis Median ± sem | 94.4±21.0 | 116.5±27.4 | 78.0±103.1 | 33.1±5.6 | 0.001883 | |
Diagnosed before discharge (number and percentage) | 38/102 (37.3%) | 13/57 (22.8%) | 4/13 (30.8%) | 21/32 (65.6%) | <0.00001 | ||
Affected medical management? (number and percentage)-Total | 53/102 (52.0%) | 26/57 (45.6%) | 4/13 (33.3%) | 23/32 (71.9%) | 0.009902 | ||
Re-direction of care | 19 | 11 | 0 | 8 | NA | ||
Initiation of subspecialist care | 27 | 12 | 3 | 12 | NA | ||
Change in treatment or diet | 7 | 2 | 1 | 4 | NA | ||
Major procedures completed | 5 | 2 | 0 | 3 | NA |
sem: standard error of mean (sem)
Excluding partial diagnosis or diagnosed by other methodologies
two-tailed t-test or Fisher exact test, when applicable. Bold, p value < 0.05