Survival following venoarterial extracorporeal membrane oxygenation in postcardiotomy cardiogenic shock adults
| العنوان: | Survival following venoarterial extracorporeal membrane oxygenation in postcardiotomy cardiogenic shock adults |
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| المؤلفون: | Hong Wang, Liangshan Wang, Juanjuan Shao, Ming Jia, Xiaotong Hou, Fei Chen |
| المصدر: | Perfusion |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Bypass grafting, medicine.medical_treatment, coronary artery bypass grafting, Shock, Cardiogenic, 030204 cardiovascular system & hematology, venoarterial extracorporeal membrane oxygenation, Extracorporeal, 03 medical and health sciences, Extracorporeal Membrane Oxygenation, 0302 clinical medicine, Risk Factors, Internal medicine, Long term survival, Extracorporeal membrane oxygenation, medicine, Humans, Radiology, Nuclear Medicine and imaging, Advanced and Specialized Nursing, business.industry, Cardiogenic shock, 030208 emergency & critical care medicine, postcardiotomy cardiogenic shock, General Medicine, Middle Aged, medicine.disease, Original Papers, Survival Analysis, medicine.anatomical_structure, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, long-term survival, Safety Research, Artery |
| الوصف: | Background: Studies reporting long-term outcomes of venoarterial extracorporeal membrane oxygenation–treated coronary artery bypass grafting patients are scarce. The objective of this study was to examine the survival outcomes and identify mortality risk factors for coronary artery bypass grafting patients who received venoarterial extracorporeal membrane oxygenation for postcardiotomy cardiogenic shock. Methods: Data from 121 consecutive venoarterial extracorporeal membrane oxygenation–treated coronary artery bypass grafting patients at the Beijing Anzhen Hospital between January 2012 and December 2016 were analyzed. Multivariable Cox regression modeling was used to identify factors independently associated with 36-month mortality. Results: Seventy-seven patients (64%) could be weaned from venoarterial extracorporeal membrane oxygenation, 56 patients (46%) survived to hospital discharge, and 41 patients (34%) survived to 36 months. Older age (hazard ratio, 1.06; 95% confidence interval [CI], 1.03-1.10; p 60—was 0.87 (95% CI, 0.81-0.94). Age and left main coronary artery disease significantly increased the discriminatory performance of Sepsis-related Organ Failure Assessment score (0.79 vs. 0.91, p = 0.025). Conclusions: Older age, left main coronary artery disease, and vasoactive inotropic score were associated with 36-month mortality in coronary artery bypass grafting patients who received venoarterial extracorporeal membrane oxygenation. |
| تدمد: | 1477-111X 0267-6591 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::72714cc552cce043ddb1ed9650251b25Test https://doi.org/10.1177/0267659120931306Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....72714cc552cce043ddb1ed9650251b25 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1477111X 02676591 |
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