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Table 3 Pre-ECMO variables associated with the decision to perform a tracheostomy during ECMO (vs. after ECMO) in severe ARDS patients

From: Tracheostomy management in patients with severe acute respiratory distress syndrome receiving extracorporeal membrane oxygenation: an International Multicenter Retrospective Study

Variable

OR (95%CI)

p value

Pitie Salpetriere hospital, Paris, France

Reference

 

 Columbia University, New York, United States of America

0.57 (0.28–1.15)

0.12

 University Hospital Regensburg, Regensburg, Germany

0.81 (0.43–1.51)

0.51

 IRCCS-ISMETT, Palermo, Italy

0.35 (0.14–0.83)

0.02

Age (per year)

0.99 (0.98–1.00)

0.12

Body mass index

1.01 (0.99–1.03)

0.42

Delay from intubation to the initiation of ECMO, for each day

1.09 (1.04–1.15)

< 0.01

Immunocompromised status

1.20 (0.72–2.03)

0.49

Higher SOFA score at cannulation (respiratory and neurological components excluded)

0.92 (0.84–1.00)

0.04

Surgery within 7 days before ARDS onset

0.50 (0.31–0.79)

< 0.01

Prone position before ECMO

0.78 (0.44–1.39)

0.40

Pneumothorax before ECMO

0.89 (0.50–1.61)

0.70

Extra pulmonary infection

1.39 (0.70–2.88)

0.36

Corticosteroids before ECMO

1.72 (1.02–2.96)

0.04

Cardiac arrest before ECMO

0.98 (0.53–1.85)

0.96

Bacterial pneumonia

1.10 (0.67–1.80)

0.70

Viral pneumonia

0.70 (0.38–1.27)

0.24

Pancreatitis

0.09 (0.00–0.56)

0.03

  1. Model performed on 530 patients. Area under the ROC curve of the model 0.75 (0.72–0.78)
  2. ARDS, acute respiratory distress syndrome; CI, confidence interval; ECMO, extracorporeal membrane oxygenation; OR, odds ratio; SOFA Sequential Organ Failure Assessment