Pediatric anesthesia & critical care
Child Opportunity Index and Pediatric Extracorporeal Membrane Oxygenation Outcomes; the Role of Diagnostic Category
Authors' conclusion
SDoH are statistically associated with pediatric ECMO outcomes; however, associations differ between diagnostic categories. Influence of COI was observed only in cardiac patients while payer, race, and ethnicity results varied.
Study context
- Population
- Children (< 18 yr) supported on extracorporeal membrane oxygenation (ECMO), 44 US children's hospitals, October 1, 2015 to March 1, 2021; children without Child Opportunity Index (COI) excluded44 US children's hospitals
- Participants
- 8,710 participants
- Exposure
- Social determinants of health (COI, race, ethnicity, payer, US region) and in-hospital mortality, by diagnostic category
- Outcome
- In-hospital mortality
Methodological detailsmulticentre, administrative database (Pediatric Health Information System)
- Multicentre
- Administrative database (Pediatric Health Information System)
Main finding
As reported in the abstract
Adjusted odds ratio (95% CI)
Pediatric cardiac: Hispanic ethnicityhigher survival
0.72(0.57–0.89)
Sepsis: Black race
1.62(1.06–2.47)
Pediatric respiratory: other payer
1.94(1.23–3.06)
- Pediatric cardiac: every 10-point decrement in COI · multivariable logistic regression
- odds of death 5% increased (95% CI 1.01–1.09)
- Overall in-hospital mortality
- 33% (2863/8710)
Observational data: associations, not effects.
Further findings
Cardiac-surgical complexity and cannulation timing (heart disease, highest COI quintile)
- Highest COI quintile had less cardiac-surgical complexity and earlier cannulation
Original publication
Child Opportunity Index and Pediatric Extracorporeal Membrane Oxygenation Outcomes; the Role of Diagnostic Category. Crit Care Med. Published 26 June 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →