Date of Award
Spring 4-4-2024
Embargo Period
4-20-2024
Document Type
Thesis
Degree Name
Doctor of Health Administration
College
College of Health Professions
First Advisor
Mary Dooley
Second Advisor
Kit Simpson
Third Advisor
David Fitzgerald
Abstract
Background. Extracorporeal membrane oxygenation (ECMO) is a critical life support mechanism in the intensive care of children with cardiopulmonary dysfunction. In this study, we aim to identify factors that impact ECMO outcome in pediatric population in the United States.
Methods. We conducted a retrospective cohort study of all ECMO admissions in the United States in years 2016, 2017 and 2019 using the National Inpatient sample (NIS) of the Healthcare Cost and Utilization Project (HCUP). The 2019 data was assessed to identify associations with the addition of ECMO type (VA vs VV).
Results. ECMO mortality rate was found to be 36.6%. Only pediatric chronic complex conditions (CCC) score and VA ECMO indication were associated with ECMO mortality. Age group, hospital region and CCC score were predictors of length of stay (LOS) for ECMO hospitalization. Hospital region and CCC score were predictors of total charges for ECMO hospitalization.
Conclusion. Age group, hospital region, VA ECMO type, and CCC score are predictors of ECMO outcome. Race, median household income and insurance type were not associated with ECMO outcome.
Recommended Citation
Ibe, Stanley C., "An Assessment of the Impact of Patient Characteristics on Pediatric ECMO Outcome in the United States" (2024). MUSC Theses and Dissertations. 855.
https://medica-musc.researchcommons.org/theses/855
Rights
Copyright is held by the author. All rights reserved.