Table 2 Short- and long-term outcomes of pediatric patients requiring extracorporeal membrane oxygenation in Ontario, Canada (2009–2017)
Variable | Overall (n = 342) | Neonatal (n = 103) | Cardiac failure (n = 169) | Respiratory failure (n = 70) | P value |
|---|---|---|---|---|---|
Survival following ECMO initiation, n (%) | |||||
To hospital discharge | 193 (56.4) | 55 (53.4) | 102 (60.4) | 36 (51.4) | 0.34 |
7 days | 253 (74.0) | 81 (78.6) | 127 (75.1) | 45 (64.3) | 0.10 |
30 days | 217 (63.5) | 62 (60.2) | 115 (68.0) | 40 (57.1) | 0.20 |
1 years | 176 (51.5) | 49 (47.6) | 93 (55.0) | 34 (48.6) | 0.42 |
2 years | 171 (50.0) | 47 (45.6) | 91 (53.8) | 33 (47.1) | 0.37 |
5 yearsa | 75 (42.1) | 24 (42.9) | 38 (45.2) | 13 (34.2) | 0.51 |
Hospital length of stay, days, median (IQR) | 26 (11–61) | 24 (14–53) | 29 (11–72) | 21 (8–55) | 0.21 |
Ventricular assist device during hospitalization, n (%) | 59 (17.3) | 17 (16.5) | 29 (17.2) | 13 (18.6) | 0.94 |
Transplant during hospitalization, n (%) | |||||
Heart transplant | 13 (3.8) | * | 13 (7.7) | * | < 0.001 |
Lung transplant | 11 (3.2) | * | * | 10 (14.3) | < 0.001 |
Discharge disposition among survivors, n (%)b | 0.78 | ||||
Home (without homecare) | 95 (49.2) | 26 (47.2) | 51 (50.0) | 18 (50.0) | |
Home (with homecare) | 97 (50.3) | 29 (52.7) | 50 (49.0) | 18 (50.0) | |
Emergency department visit following discharge, n (%)b | |||||
Within 30 days | 48 (24.9) | 14 (25.5) | 23 (22.5) | 11 (30.6) | 0.90 |
Within 90 days | 78 (40.4) | 22 (40.0) | 42 (41.1) | 14 (38.9) | 0.66 |
Within 1 year | 111 (57.5) | 27 (49.1) | 58 (56.9) | 26 (72.2) | 0.25 |
Hospital readmissions following discharge, n (%)b | |||||
Within 30 days | 35 (18.1) | 12 (21.8) | 15 (14.7) | 8 (22.2) | 0.71 |
Within 90 days | 62 (32.1) | 15 (27.3) | 33 (32.4) | 14 (38.9) | 0.53 |
Within 1 year | 83 (43.0) | 18 (32.7) | 43 (42.2) | 22 (61.1) | 0.10 |