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. Author manuscript; available in PMC: 2020 Aug 1.
Published in final edited form as: Resuscitation. 2019 Jun 5;141:24–34. doi: 10.1016/j.resuscitation.2019.05.032

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
1

P-value is based on the Wilcoxon rank-sum test.

2

Chi-squared test of no association.