Post-ECMO chest tube placement: A propensity score-matched survival analysis

Journal of Pediatric Surgery
Jun TashiroJuan E Sola

Abstract

Severe morbidity and mortality has been reported from chest tube (CT) placement during pediatric extracorporeal membrane oxygenation (ECMO). Kids' Inpatient Database (KID) was analyzed for ECMO with CT placed <8days postcannulation (1997-2009). Overall, 5884 patients were identified (213 CT) (56% male, 49% white), with a median (IQR) age at ECMO cannulation 7 (117)days, length of stay (LOS) 26 (35)days, and total charges (TC) 342,116 (409,573) USD. Diagnoses included congenital diaphragmatic hernia (CDH) 16%, meconium aspiration (MA) 2%, pulmonary hypertension (PH) 13%, respiratory distress syndrome (RDS) 41%, and cardiac (C) 29%. Survival was overall 57%, CDH 47%, MA 88%, PH 75%, RDS 57%, and C 52%. There were no differences in survival between CT and non-CT patients compared overall, or by diagnosis, or by age <30days, or by diagnosis and age <30days. Multivariate analysis and propensity score matching for all ages, or <30days of age by diagnosis showed no difference in survival between CT and non-CT patients. Analysis of KID with correlative propensity score matching demonstrates no increased mortality in pediatric ECMO patients requiring CT placement.

References

Aug 1, 1992·Journal of Pediatric Surgery·H S NagarajL N Cook
Jul 1, 1988·Journal of Pediatric Surgery·J B ZwischenbergerR H Bartlett
Jun 1, 2005·Seminars in Perinatology·K Rais Bahrami, Krisa P Van Meurs
Jul 14, 2010·Journal of Pediatric Surgery·Juan E SolaLeonidas G Koniaris
Jun 12, 2012·The Journal of Surgical Research·James S DavisJuan E Sola
Aug 13, 2013·Journal of Pediatric Surgery·Matthew L StoneBradley M Rodgers
Jan 21, 2014·Journal of Pediatric Surgery·Hope T JacksonGerald Gollin
Mar 4, 2014·Seminars in Perinatology·Andrew L Mesher, David Michael McMullan
Mar 19, 2014·The Journal of Surgical Research·Jun TashiroEduardo A Perez

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Citations

Apr 8, 2018·Pediatric Surgery International·Rebecca S LaneJuan E Sola

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