Post-ECMO chest tube placement

A propensity score-matched survival analysis

Jun Tashiro, Eduardo Perez, David S. Lasko, Juan E Sola

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)793-797
Number of pages5
JournalJournal of Pediatric Surgery
Volume50
Issue number5
DOIs
StatePublished - May 1 2015

Fingerprint

Chest Tubes
Propensity Score
Extracorporeal Membrane Oxygenation
Survival Analysis
Meconium Aspiration Syndrome
Pulmonary Hypertension
Survival
Inpatients
Databases
Pediatrics
Mortality
Catheterization
Length of Stay
Multivariate Analysis
Morbidity

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 journalArticle

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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.",
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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.

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