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. 2020 Dec 21;32(4):607–615. doi: 10.1093/icvts/ivaa312

Table 2:

Clinical course after ECLS implantation, status at hospital discharge and at 30 days as predictors of medium-term survival

n Median (IQR) or frequency (%) HR P-value
Course of hospitalization
Duration of support (h) 79 109.8 (71.9–162.0) 1.00 0.46
  VAD implantation 79 11 (13.9) 2.57 0.03
  Heart transplantation 79 1 (1.3) <0.001 1.00
Patients with adverse events 79 54 (68.4) 2.50 0.06
  ECLS-related bleeding 79 6 (7.6) 0.42 0.40
  Distal leg ischaemia 79 4 (5.1) <0.001 1.00
  Cerebral complication 79 24 (30.4) 2.38 0.02
  RRT 78a 33 (42.3) 2.25 0.04
  Sepsis 79 19 (24.1) 1.93 0.10
  Bowel ischaemia 79 2 (2.5) 1.44 0.72
Duration of ventilation (days) 79 13.0 (8.0–22.0) 1.04 0.002
Tracheostomy 79 43 (54.4) 2.46 0.04
ICU stay (days) 79 20.0 (15.0–32.0) 1.02 0.05
Hospital stay (days) 79 24.0 (19.0–37.0) 1.01 0.41
Discharge
  Home 79 9 (11.4) 0.35 0.30
  To rehab 79 31 (39.2) 0.25 0.01
  To other hospital 79 35 (44.3) 4.75 0.002
  Died in-hospital after 30  days 79 4 (5.1) na na
Status at 30 days
Pulmonary status at 30 days
  Not ventilated 79 50 (63.3) 0.27 <0.001
  Intermittently ventilated 79 20 (25.3) 1.68 0.20
  Fully ventilated 79 9 (11.4) 5.07 <0.001
Renal status at 30 days
  No treatment 78a 11 (14.1) 0.52 0.37
  Oral diuretics 78a 58 (74.4) 1.15 0.77
  IV diuretics 78a 0 na na
  RRT 78a 9 (11.5) 1.37 0.56
Liver status at 30 days
  Unremarkable 79 23 (29.1) 0.26 0.03
  Elevated bilirubin/GOT/GPT 79 51 (64.6) 1.22 0.63
  Complicationb 79 5 (6.3) 59.79 <0.001
Degree of dependence at 30 days
  Rankin Scale ≤3 79 36 (45.6) 0.07 <0.001
  Rankin Scale ≥3 79 43 (54.4) 15.20 <0.001
a

One patient with chronic dialysis pre-ECLS was excluded.

b

Includes any complication related to the hepatobiliary system, e.g. non-cardiogenic shock-related liver failure or secondary sclerosing cholangitis.

HR: hazard ratio; ICU: intensive care unit; IQR: interquartile range; na: not applicable; RRT: renal replacement therapy; VAD: ventricular assist device.