Table 3.
Patient and Cardiac Arrest Characteristics by MAP Hypotension Group (0-6 hrs) ECMO patients
Any Hypotensive MAP (0-6 hrs) |
||||
---|---|---|---|---|
Overall (N = 157) | No (N = 134) | Yes (N = 23) | P-value | |
Age at randomization (months) | 7.0 [1.0, 50.0] | 6.0 [1.0, 34.0] | 62.0 [4.0, 174.0] | 0.0041 |
Male | 100 (63.7%) | 89 (66.4%) | 11 (47.8%) | 0.0872 |
Race | 0.8982 | |||
Black or African American | 45 (28.7%) | 38 (28.4%) | 7 (30.4%) | |
White | 94 (59.9%) | 80 (59.7%) | 14 (60.9%) | |
Other/Unknown | 18 (11.5%) | 16 (11.9%) | 2 (8.7%) | |
Ethnicity | 0.2032 | |||
Hispanic or Latino | 28 (17.8%) | 23 (17.2%) | 5 (21.7%) | |
Not Hispanic or Latino | 120 (76.4%) | 105 (78.4%) | 15 (65.2%) | |
Unknown | 9 (5.7%) | 6 (4.5%) | 3 (13.0%) | |
Any pre-existing condition | 143 (91.1%) | 120 (89.6%) | 23 (100.0%) | 0.1042 |
Pre-Existing Conditions | ||||
Cardiac condition | 123 (78.3%) | 106 (79.1%) | 17 (73.9%) | 0.5772 |
Congenital heart disease | 104 (66.2%) | 92 (68.7%) | 12 (52.2%) | 0.1232 |
Congenital acyanotic heart disease | 75 (47.8%) | 67 (50.0%) | 8 (34.8%) | 0.1772 |
Congenital cyanotic heart disease | 29 (18.5%) | 25 (18.7%) | 4 (17.4%) | 0.8852 |
Acquired heart disease | 30 (19.1%) | 20 (14.9%) | 10 (43.5%) | 0.0012 |
Arrhythmia | 41 (26.1%) | 36 (26.9%) | 5 (21.7%) | 0.6052 |
Heart Transplant | 10 (6.4%) | 9 (6.7%) | 1 (4.3%) | 0.6672 |
Cyanotic heart disease (baseline sat < 85%) | 29 (18.5%) | 25 (18.7%) | 4 (17.4%) | 0.8852 |
Pulmonary hypertension | 12 (7.6%) | 10 (7.5%) | 2 (8.7%) | 0.8372 |
Pulmonary hypertension - associated with CHD | 9 (5.7%) | 9 (6.7%) | 0 (0.0%) | 0.2012 |
Pulmonary hypertension - not associated with CHD | 3 (1.9%) | 1 (0.7%) | 2 (8.7%) | 0.0102 |
Prenatal condition | 30 (19.1%) | 23 (17.2%) | 7 (30.4%) | 0.1352 |
Respiratory condition | 42 (26.8%) | 30 (22.4%) | 12 (52.2%) | 0.0032 |
Immunocompromised | 21 (13.4%) | 18 (13.4%) | 3 (13.0%) | 0.9602 |
Transplant | 12 (7.6%) | 10 (7.5%) | 2 (8.7%) | 0.8372 |
Gastrointestinal condition | 44 (28.0%) | 37 (27.6%) | 7 (30.4%) | 0.7812 |
Endocrine condition | 6 (3.8%) | 5 (3.7%) | 1 (4.3%) | 0.8872 |
Renal condition | 20 (12.7%) | 16 (11.9%) | 4 (17.4%) | 0.4692 |
Neurologic condition | 33 (21.0%) | 23 (17.2%) | 10 (43.5%) | 0.0042 |
Failure to thrive | 10 (6.4%) | 10 (7.5%) | 0 (0.0%) | 0.1762 |
Other pre-existing condition | 39 (24.8%) | 34 (25.4%) | 5 (21.7%) | 0.7092 |
Night or weekend arrest | 71 (45.2%) | 61 (45.5%) | 10 (43.5%) | 0.8562 |
Initial cardiac arrest rhythm | 0.3092 | |||
Asystole | 7 (4.5%) | 6 (4.5%) | 1 (4.3%) | |
Bradycardia | 89 (56.7%) | 73 (54.5%) | 16 (69.6%) | |
Pulseless electrical activity (PEA) | 37 (23.6%) | 35 (26.1%) | 2 (8.7%) | |
Ventricular fibrillation or tachycardia | 19 (12.1%) | 15 (11.2%) | 4 (17.4%) | |
Unknown | 5 (3.2%) | 5 (3.7%) | 0 (0.0%) | |
Primary etiology of cardiac arrest | 0.3582 | |||
Cardiac | 119 (75.8%) | 104 (77.6%) | 15 (65.2%) | |
Respiratory | 34 (21.7%) | 26 (19.4%) | 8 (34.8%) | |
Other | 1 (0.6%) | 1 (0.7%) | 0 (0.0%) | |
Unknown | 3 (1.9%) | 3 (2.2%) | 0 (0.0%) | |
Septic shock with hypotension | 15 (9.6%) | 13 (9.7%) | 2 (8.7%) | 0.8802 |
Location within hospital at time of arrest | 0.7772 | |||
Emergency department | 7 (4.5%) | 6 (4.5%) | 1 (4.3%) | |
Non-intensive care inpatient ward | 13 (8.3%) | 11 (8.2%) | 2 (8.7%) | |
Intensive care unit (includes intermediate care) | 110 (70.1%) | 92 (68.7%) | 18 (78.3%) | |
Operating room | 14 (8.9%) | 12 (9.0%) | 2 (8.7%) | |
Other clinical location (radiology,laboratory,etc.) | 12 (7.6%) | 12 (9.0%) | 0 (0.0%) | |
Non-clinical location (cafeteria,waiting room, etc.) | 1 (0.6%) | 1 (0.7%) | 0 (0.0%) | |
IV present at the time of arrest | 149 (94.9%) | 127 (94.8%) | 22 (95.7%) | 0.8602 |
Intubated at the time of arrest | 116 (73.9%) | 98 (73.1%) | 18 (78.3%) | 0.6052 |
Previous PICU admission during current hospitalization | 38 (24.2%) | 33 (24.6%) | 5 (21.7%) | 0.7652 |
Number of defibrillation attempts at hospital | 0.8192 | |||
None | 119 (75.8%) | 102 (76.1%) | 17 (73.9%) | |
1 or more | 38 (24.2%) | 32 (23.9%) | 6 (26.1%) | |
Open chest compressions performed | 33 (21.0%) | 29 (21.6%) | 4 (17.4%) | 0.6442 |
Duration of chest compressions | 38.0 [18.0, 57.0] | 37.0 [19.0, 54.0] | 48.0 [6.0, 79.0] | 0.1532 |
Duration of chest compressions | 0.6782 | |||
Less than or equal to 15 minutes | 37 (23.6%) | 31 (23.1%) | 6 (26.1%) | |
More than 15 to less than or equal to 30 minutes | 23 (14.6%) | 21 (15.7%) | 2 (8.7%) | |
More than 30 minutes | 97 (61.8%) | 82 (61.2%) | 15 (65.2%) | |
Total number of doses of epinephrine administered | 5.0 [2.0, 11.0] | 5.0 [2.0, 11.0] | 5.0 [2.0, 11.0] | 0.9381 |
Epinephrine Dosing Interval (min/dose) | 0.6622 | |||
No epinephrine recorded | 6 (3.8%) | 5 (3.7%) | 1 (4.3%) | |
< 3 min/dose | 26 (16.6%) | 23 (17.2%) | 3 (13.0%) | |
3 - < 5 min/dose | 31 (19.7%) | 27 (20.1%) | 4 (17.4%) | |
5 - < 8 min/dose | 40 (25.5%) | 36 (26.9%) | 4 (17.4%) | |
≥ 8 min/dose | 54 (34.4%) | 43 (32.1%) | 11 (47.8%) | |
Treatment Received | 0.9432 | |||
Hypothermia | 74 (47.1%) | 63 (47.0%) | 11 (47.8%) | |
Normothermia | 83 (52.9%) | 71 (53.0%) | 12 (52.2%) | |
Time between ROSC/ROC and treatment initiation (hours) | 4.5 [3.6, 5.5] | 4.4 [3.5, 5.3] | 5.3 [3.6, 5.8] | 0.0971 |
Dose of MAP hypotension (0-6 hrs) | 0.0 [0.0, 0.0] | 0.0 [0.0, 0.0] | 50.0 [25.0, 66.7] | |
Maximum measured lactate (0-6 hrs) | 6.2 [3.7, 10.9] | 5.9 [3.5, 8.7] | 10.2 [4.7, 16.0] | 0.0091 |
Minimum measured lactate (0-6 hrs) | 4.2 [2.5, 9.6] | 4.0 [2.4, 7.9] | 6.3 [4.0, 14.4] | 0.0081 |
No medications (0-6 hrs) | 59 (37.6%) | 52 (38.8%) | 7 (30.4%) | 0.4442 |
Vasoactive Agents (0-6 hrs) | 0.1372 | |||
0 | 83 (52.9%) | 71 (53.0%) | 12 (52.2%) | |
1 | 43 (27.4%) | 38 (28.4%) | 5 (21.7%) | |
2 | 27 (17.2%) | 22 (16.4%) | 5 (21.7%) | |
3 | 3 (1.9%) | 3 (2.2%) | 0 (0.0%) | |
4 | 1 (0.6%) | 0 (0.0%) | 1 (4.3%) | |
Milrinone (0-6 hrs) | 44 (28.0%) | 36 (26.9%) | 8 (34.8%) | 0.4352 |
Steroids (0-6 hrs) | 27 (17.2%) | 25 (18.7%) | 2 (8.7%) | 0.2422 |
Vasopressin (0-6 hrs) | 16 (10.2%) | 13 (9.7%) | 3 (13.0%) | 0.6252 |
Survival to Hospital Discharge | 73 (46.5%) | 66 (49.3%) | 7 (30.4%) | 0.0952 |
P-value is based on the Wilcoxon rank-sum test.
Chi-squared test of no association.