Bleeding group (n = 35) | Non-bleeding group (n = 86) | p value | |
---|---|---|---|
Heparin doses | |||
Mean dose (IU/kg/h) | 11 [7–16] | 12 [8–15] | 0.9 |
Dose at the occurrence of bleeding (IU/kg/h) | 13 [7–16] | – | – |
Anti-Xa (IU/mL) | |||
Mean anti-Xa during ECMO support | 0.38 [0.29–0.67] | 0.33 [0.22–0.42] | 0.01 |
Maximum anti-Xa | 0.83 [0.47–1.46] | 0.66 [0.36–0.91] | 0.05 |
Anti-Xa at the occurrence of bleeding | 0.33 [0.15–0.50] | – | – |
Platelet function | |||
Minimum platelets during ECMO (/mm3) | 93 [57–162] | 91 [60–120] | 0.6 |
Platelets at the occurrence of bleeding (/mm3) | 109 [63–178] | – | – |
Antiplatelet agents during ECMO, n (%) | 24 (68) | 59 (69) | 0.9 |
Hemorrhagic complications | |||
Needing 2 packed RBC or more / drop of hemoglobin of 2 g/dL or more | 23 (66) | – | – |
Characterized by its location | 12 (34) | – | – |
Needing specific intervention | 11 (31) | – | – |
Delay between ECMO and hemorrhage (days) | 3 [2–6] | – | – |
Type of bleeding, n (%) | |||
Intracerebral hemorrhage | 9 (26) | – | – |
Bleeding on cannula site | 14 (40) | – | – |
Oropharyngeal bleeding | 7 (20) | – | – |
Pericardial bleeding | 3 (9) | – | – |
Pulmonary hemorrhage | 2 (6) | – | – |
Hemothorax | 2 (6) | – | – |
Gastrointestinal bleeding | 1 (3) | – | – |
Hematuria | 1 (3) | – | – |
Massive metrorrhagia | 1 (3) | – | – |
Multiple-site bleeding | 7 (20) | – | – |
Bleeding leading to death, n (%) | 8 (23) | – | – |
Number of packed RBC during ECMO | 7 [4–13] | 2 [0–5] | < 0.0001 |
Thrombotic complications, n (%) | 8 (23) | 20 (23) | 0.7 |
Ischemic stroke | 4 (11) | 6 (7) | |
Membrane oxygenation replacement needed | 2 (8) | 4 (5) | |
Limb ischemia | 0 (0) | 3 (3) | |
Deep vein thrombosis | 3 (9) | 8 (9) | |
30-day mortality, n (%) | 17 (48) | 20 (24) | 0.009 |