From: Outcomes of early versus delayed initiation of extracorporeal life support in cardiac surgery
Variable | Delayed ECMO (n = 36) | Early ECMO (n = 36) | P value |
---|---|---|---|
Arterial Lactate (mmol/L) | < 0.01 | ||
Admission to ICU (T0) | 6.5(5.6–8.1) | 6.3(5.7–7.1) | 0.62 |
T12 | 6.8(6.0–9.0) | 6.0(4.9–8.2) | 0.03 |
T24 | 7.3(6.1–9.5) | 6.0(4.1–9.0) | 0.02 |
T48 | 7.8(4.9–12.6) | 4.3(3.6–6.7) | < 0.01 |
T72 | 5.3(3.0–7.1) | 3.3(2.7–4.3) | 0.03 |
VIS (maximum) | 0.03 | ||
T0 | 52(48–58) | 55(48–60) | 0.42 |
From T0 to T12 | 55(49–58) | 55(49–60) | 0.35 |
From T12 to T24 | 57(50–60) | 53(49–60) | 0.13 |
From T24 to T48 | 56(50–60) | 45(40–53) | < 0.01 |
From T48 to T72 | 45(35–55) | 35(28–45) | < 0.01 |
CI (L/min·m2) | 0.01 | ||
T0 | 2.0 ± 0.1 | 1.9 ± 0.3 | 0.40 |
T12 | 2.0 ± 0.1 | 1.9 ± 0.18 | 0.16 |
T24 | 1.9 ± 0.2 | 2.1 ± 0.4 | < 0.01 |
T48 | 1.9 ± 0.4 | 2.2 ± 0.3 | 0.04 |
T72 | 2.1 ± 0.4 | 2.4 ± 0.6 | 0.06 |
ECMO flow (ml/kg/min) | 0.06 | ||
T0 | 0 | 40.2 ± 8.4 | – |
T12 | 37.3 ± 8.1 | 32.7 ± 6.1 | 0.02 |
T24 | 36.1 ± 7.6 | 32.3 ± 6.7 | 0.03 |
T48 | 35.3 ± 7.9 | 31.1 ± 4.2 | 0.02 |
T72 | 33.5 ± 9.7 | 31.7 ± 8.7 | 0.49 |
Hemoglobin (g/L) | 0.27 | ||
T0 | 8.9 ± 1.2 | 9.4 ± 1.3 | 0.21 |
T12 | 9.50 ± 1.5 | 9.6 ± 1.1 | 0.73 |
T24 | 9.7 ± 1.4 | 9.5 ± 1.3 | 0.42 |
T48 | 9.6 ± 1.2 | 9.8 ± 1.4 | 0.59 |
T72 | 9.5 ± 1.3 | 9.9 ± 1.2 | 0.23 |
Indirect Bilirubin (μmol/L) | 0.07 | ||
T0 | 11.8(6.6–18.4) | 10.2(6.3–17.2) | 0.48 |
T24 | 14.8(10.9–21.9) | 12.6(9.9–18.5) | 0.28 |
T48 | 13.0(8.5–20.6) | 12.5(5.3–17.9) | 0.30 |
T72 | 13.1(8.2–19.4) | 8.4(5.0–16.2) | 0.06 |
Time since ACC came off to the start of ECMO (minutes) | 74(39–143) | 29(23–32) | < 0.01 |