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Survival in children on extracorporeal membrane oxygenation at the time of lung transplantation
Author(s) -
Hayes Don,
McConnell Patrick I.,
Tobias Joseph D.,
Whitson Bryan A.,
Preston Thomas J.,
Yates Andrew R.,
Galantowicz Mark
Publication year - 2015
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12400
Subject(s) - medicine , extracorporeal membrane oxygenation , proportional hazards model , propensity score matching , hazard ratio , lung transplantation , univariate analysis , survival analysis , multivariate analysis , cohort , log rank test , transplantation , surgery , confidence interval
Limited data exist on ECMO at the time of LT x in children. The UNOS database was queried from 2000 to 2013 for pediatric lung transplant recipients (<18 yr) to assess post‐transplant survival of patients on ECMO at the time of LT x. Of 587 pediatric recipients with 17 on ECMO, 585 were used for univariate and Kaplan–Meier function analysis, 535 for multivariate Cox models, and 24 for propensity score matching. Univariate Cox ( HR = 1.777; 95% CI : 0.658, 4.803; p = 0.257) and Kaplan–Meier function (log‐rank test: chi‐square (df = 1): 1.32, p = 0.250) analyses did not identify a survival difference between ECMO and non‐ ECMO , while multivariate Cox models ( HR = 1.821; 95% CI : 0.654, 5.065; p = 0.251) did not demonstrate an increased risk for death. Propensity score matching analysis ( HR = 1.500; 95% CI : 0.251, 8.977; p = 0.657) also failed to demonstrate a significantly increased hazard ratio. Using a contemporary cohort of pediatric lung transplant recipients, the use of ECMO at the time of lung transplantation did not negatively impact survival.