Abstract
Background Severe morbidity and mortality has been reported from chest tube (CT) placement during pediatric extracorporeal membrane oxygenation (ECMO). Methods Kids' Inpatient Database (KID) was analyzed for ECMO with CT placed < 8 days postcannulation (1997-2009). Results 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 < 30 days, or by diagnosis and age < 30 days. Multivariate analysis and propensity score matching for all ages, or < 30 days of age by diagnosis showed no difference in survival between CT and non-CT patients. Conclusion Analysis of KID with correlative propensity score matching demonstrates no increased mortality in pediatric ECMO patients requiring CT placement.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 793-797 |
| Number of pages | 5 |
| Journal | Journal of Pediatric Surgery |
| Volume | 50 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 1 2015 |
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Keywords
- Chest tubes
- Extracorporeal membrane oxygenation
- Thoracostomy Outcomes research
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
Cite this
Post-ECMO chest tube placement : A propensity score-matched survival analysis. / Tashiro, Jun; Perez, Eduardo; Lasko, David S.; Sola, Juan E.
In: Journal of Pediatric Surgery, Vol. 50, No. 5, 01.05.2015, p. 793-797.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Post-ECMO chest tube placement
T2 - A propensity score-matched survival analysis
AU - Tashiro, Jun
AU - Perez, Eduardo
AU - Lasko, David S.
AU - Sola, Juan E
PY - 2015/5/1
Y1 - 2015/5/1
N2 - Background Severe morbidity and mortality has been reported from chest tube (CT) placement during pediatric extracorporeal membrane oxygenation (ECMO). Methods Kids' Inpatient Database (KID) was analyzed for ECMO with CT placed < 8 days postcannulation (1997-2009). Results 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 < 30 days, or by diagnosis and age < 30 days. Multivariate analysis and propensity score matching for all ages, or < 30 days of age by diagnosis showed no difference in survival between CT and non-CT patients. Conclusion Analysis of KID with correlative propensity score matching demonstrates no increased mortality in pediatric ECMO patients requiring CT placement.
AB - Background Severe morbidity and mortality has been reported from chest tube (CT) placement during pediatric extracorporeal membrane oxygenation (ECMO). Methods Kids' Inpatient Database (KID) was analyzed for ECMO with CT placed < 8 days postcannulation (1997-2009). Results 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 < 30 days, or by diagnosis and age < 30 days. Multivariate analysis and propensity score matching for all ages, or < 30 days of age by diagnosis showed no difference in survival between CT and non-CT patients. Conclusion Analysis of KID with correlative propensity score matching demonstrates no increased mortality in pediatric ECMO patients requiring CT placement.
KW - Chest tubes
KW - Extracorporeal membrane oxygenation
KW - Thoracostomy Outcomes research
UR - http://www.scopus.com/inward/record.url?scp=84928704068&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928704068&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2015.02.038
DO - 10.1016/j.jpedsurg.2015.02.038
M3 - Article
VL - 50
SP - 793
EP - 797
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 5
ER -