Acute cardiac care & resuscitation
Racial and Ethnic Variation in Extracorporeal Membrane Oxygenation (ECMO) Utilization and Outcomes in Pediatric Cardiac ICU Patients
Authors' conclusion
Black and other races were associated with increased ECMO utilization during surgical hospitalizations. There were racial/ethnic disparities in outcomes not explained by differences in ECMO utilization.
Study context
- Population
- Pediatric cardiac ICU hospitalizations (medical and surgical), 34 hospitalshospitalizations, 34 hospitals
- Participants
- 50,552 hospitalizations
- Exposure
- Race/ethnicity categories and ECMO utilization and mortality
- Outcome
- ECMO utilization and mortality, by race/ethnicity, stratified by hospitalization type (medical vs surgical)
Methodological detailsmulticentre, registry-based (Pediatric Cardiac Critical Care Consortium)
- Multicentre
- Registry-based (Pediatric Cardiac Critical Care Consortium)
Main finding
As reported in the abstract
Adjusted odds ratio (95% CI)P value
BlackECMO utilization, surgical hospitalizations
1.24(1.02–1.50)
P = 0.03Other raceECMO utilization, surgical hospitalizations
1.50(1.17–1.93)
P = 0.001Hispanicmortality, surgical hospitalizations
1.31(1.03–1.68)
P = 0.03Other racemortality, medical hospitalizations
1.61(1.22–2.12)
P = 0.001- ECMO utilization overall
- 2.9% (N = 1,467)
Observational data: associations, not effects.
Further findings
Interactions of race/ethnicity with insurance and socioeconomic status
- No significant interactions between race/ethnicity and socioeconomic status indicators with ECMO utilization or mortality
Original publication
Racial and Ethnic Variation in ECMO Utilization and Outcomes in Pediatric Cardiac ICU Patients. JACC Adv. Published 6 October 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →