Research Article

Outcomes in Cardiogenic Shock Patients with Extracorporeal Membrane Oxygenation Use: A Matched Cohort Study in Hospitals across the United States

Table 2

Unmatched variables between the two groups.

Without ECMOWith ECMO value
N% (95% CI)N% (95% CI)

Chronic condition body system indicator
 Infectious and parasitic disease20725.7 (20.1–32.3)31539.3 (32.8–46.1)0.004
 Blood and blood-forming organs25731.9 (25.8–38.6)51964.8 (57.8–71.2)<0.001
 Mental disorders26432.8 (26.6–39.6)12816.0 (11.5–21.7)<0.001
 Circulatory system77996.8 (93.0–98.5)8021000.014
 Respiratory system26132.4 (26.2–39.3)65581.7 (76.0–86.4)<0.001
 Genitourinary system34342.6 (35.9–49.6)58072.3 (65.6–78.2)<0.001
 Skin and subcutaneous tissue13016.2 (11.7–21.9)486.1 (3.5–10.3)0.001
 Musculoskeletal system23328.9 (23.1–35.5)607.4 (4.7–11.7)<0.001
 Symptoms/signs/ill-defined conditions30738.1 (31.7–45.0)60475.3 (68.8–80.8)<0.001
 Injury and poisoning28535.5 (29.0–42.5)47859.6 (52.6–66.2)<0.001
 Health status/contact with health services factors53766.7 (59.9–72.9)32039.9 (33.6–46.5)<0.001
Proceduresb
 Extracorporeal membrane oxygenation (ECMO)00802100<0.001
 Tracheostomy: temporary and permanent202.5 (1.0–5.9)8110.2 (6.6–15.4)0.002
 Diagnostic bronchoscopy and biopsy of bronchus253.0 (1.4–6.5)9511.8 (8.2–16.8)0.001
 Incision of pleura; thoracentesis; chest drainage273.3 (1.5–7.2)8210.3 (6.8–15.2)0.008
 Other Operating Room Rx procedures on respiratory system and mediastinum162.0 (0.7–5.6)15419.2 (14.3–25.2)<0.001
 Coronary artery bypass graft (CABG)293.7 (1.9–6.9)11814.8 (10.8–19.9)<0.001
 Percutaneous transluminal coronary angioplasty (PTCA)18523.0 (17.8–29.3)10913.6 (9.5–19.1)0.015
 Other Operating Room heart procedures394.9 (2.8–8.4)40150.0 (43.0–57.0)<0.001
 Other vascular catheterization, not heart18923.5 (18.1–29.9)28835.9 (29.8–42.6)0.006
 Other non-Operating Room therapeutic cardiovascular procedures23929.8 (23.9–36.3)11013.7 (9.6–19.2)<0.001
 Amputation lower extremity425.2 (2.8–9.6)111.4 (0.4–4.6)0.04
 Respiratory intubation and mechanical ventilation10112.5 (8.7–17.8)45656.9 (49.9–63.6)<0.001
 Blood transfusion11814.7 (10.5–20.3)19524.3 (19.0–30.6)0.014
 Conversion cardiac rhythm283.5 (1.7–7.1)14618.2 (13.6–24.0)<0.001

The following variables were not significantly different between cases and controls: chronic conditions of endocrine/nutritional/metabolic and immunity disorders, nervous system and sense organs, digestive system, and involving congenital anomalies; presence of injury diagnosis on record; or presence of unintentional injury. All procedures are based on Clinical Classification Software (CCS) procedures except ECMO which is based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes.