Prognostic Risk Analyses for Postcardiotomy Extracorporeal Membrane Oxygenation in Children: A Review of Early and Intermediate Outcomes

摘要: We evaluated the morbidity and mortality of children requiring postcardiotomy extracorporeal membrane oxygenation (ECMO) to determine independent factors affecting early intermediate outcomes. Between January 2002 December 2015, 79 instances ECMO after cardiac surgery in 73 were retrospectively reviewed. Follow-up was completed 2016. Predictive risk analyses employed concerning weaning ECMO, hospital discharge, discharge. Age weight 14.9 ± 25.6 months 7.0 ± 5.3 kg, respectively. Median support time 8.3 ± 4.4 days. Sixty-seven (85%) successfully weaned off 48 (61%) survived Multi-variate logistic regression analysis identified first day obtain negative fluid balance initiation (adjusted odds ratio = 0.42), high serum lactate levels (0.97), total bilirubin (0.84) during as significant associated with successful separation from ECMO. The (0.65) decannulation an factor for survival After actuarial 1-year, 5-year, 10-year rates 94%, 78%, Low increased death discharge by a multi-variate Cox hazard model. High lactate, bilirubin, unable impacted decannulation. Obtaining late post-ECMO weaning. affected