Pediatric anesthesia & critical care

Hospital extracorporeal membrane oxygenation (ECMO) capability is associated with survival in pediatric cardiac arrest

ResuscitationPublished Retrospective cohort study

Main finding · In-hospital survivalResult — go to the resultOdds ratio 1.49 95% CI 1.09–2.02

Authors' conclusion

A hospital's ECMO capability was associated with higher in-hospital survival among children suffering cardiac arrest in this analysis of a large United States administrative dataset.

Study context

Population
Children (0–18 years) hospitalized with in- or out-of-hospital cardiac arrest, US Health Care Utilization Project (HCUP) National Inpatient Sample, 2016–2018
Participants
1,276 cardiac arrest hospitalizations
Exposure
ECMO-capable vs non-ECMO hospitals
  • ECMO-capablen = 811
Outcome
In-hospital survival
Methodological detailshierarchical logistic regression, administrative database
  • Hierarchical logistic regression
  • Administrative database

Main finding

As reported in the abstract

Odds ratio

1.49

95% CI 1.09–2.02

By group

ECMO-capable vs Non-ECMO
OR 1.49 (95% CI 1.09–2.02)

Observational data: associations, not effects.

Further findings

Patient age

P < 0.001

Receipt of ECMO support at ECMO-capable hospitals
10.9% · 88 of 811

Patient age

ECMO-capable hospital patients more likely to have a complex chronic condition, specifically congenital heart disease

Original publication

Hospital ECMO capability is associated with survival in pediatric cardiac arrest. Resuscitation. Published 26 May 2023. doi:10.1016/j.resuscitation.2023.109853

Composed by AI from the published abstract and checked against it. How Briefs are made →

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