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Table 2 Association between mechanical left ventricular unloading with survival time up to 90 days in patients receiving extracorporeal membrane resuscitation

From: Left ventricular unloading during extracorporeal cardiopulmonary resuscitation: a target trial emulation of the ELSO registry

Result

Hazards ratio (95%-CI)

Propensity score-matched cohort

0.92 (0.79–1.08)

Sensitivity analyses

Inverse probability treatment weighting

0.92 (0.82–1.03)

Complete case analysis (propensity score matched)

0.99 (0.86–1.15)

Including sex in the propensity score-matching algorithm

0.92 (0.80–1.06)

Double adjustment on propensity score-matching algorithm

0.94 (0.81–1.09)

Target trial emulations

ARREST trial

1.17 (0.84–1.63)

Prague OHCA trial

0.92 (0.77–1.10)

INCEPTION trial

1.05 (0.79–1.40)

Subgroup analyses

Type of mechanical unloading device (p-interaction = 0.87)

IABP

0.91 (0.74–1.12)

mLVAD

0.89 (0.68–1.16)

Aetiology of cardiac arrest (p = interaction = 0.97)

Cardiac

0.92 (0.78–1.10)

Non-cardiac

0.91 (0.43–1.93)

Presenting rhythm (p-interaction = 0.067)

Shockable

1.06 (0.84–1.33)

Nonshockable

0.79 (0.64–0.98)

Location of arrest (p-interaction = 0.88)

Out-of-hospital cardiac arrest

0.91 (0.69–1.19)

In-hospital cardiac arrest

0.88 (0.73–1.06)

Interaction analyses

Centre volume (per 10 cases per year)

1.03 (0.97–1.10)

Age (per 10 years)

0.99 (0.88–1.12)

Duration of CPR prior to ECMO (per 10 min)

0.95 (0.90–1.01)

  1. Abbreviations: ARREST: Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation; CI: confidence interval; CPR: Cardiopulmonary resuscitation ECMO: Extracorporeal membrane oxygenation; IABP: Intra-aortic balloon pump; LVAD: Left ventricular assist device; INCEPTION: Early Initiation of Extracorporeal Life Support in Refractory Out-of-Hospital Cardiac Arrest