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Gender and the Outc...
Gender and the Outcome of Postcardiotomy Veno-arterial Extracorporeal Membrane Oxygenation
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- Biancari, Fausto (författare)
- Helsinki University Central Hospital,University of Turku
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- Dalén, Magnus (författare)
- Karolinska Institutet
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- Fiore, Antonio (författare)
- Henri Mondor Hospital
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- Dell'Aquila, Angelo M. (författare)
- University Hospital Münster
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- Jónsson, Kristján (författare)
- Sahlgrenska University Hospital
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- Ragnarsson, Sigurdur (författare)
- Lund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Minimalinvasiv hjärtkirurgi vid hjärtklaffsjukdom,Forskargrupper vid Lunds universitet,Blödningsrubbningar och akut typ-A dissektion,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Minimal invasive cardiac surgery in valvular heart disease,Lund University Research Groups,Bleeding disorders and acute typ-A dissection
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- Gatti, Giuseppe (författare)
- Ospedale Riuniti
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- Gabrielli, Marco (författare)
- University Hospital Of Trieste
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- Zipfel, Svante (författare)
- University Heart Center Hamburg
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- Ruggieri, Vito G. (författare)
- Robert Debré University Hospital
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- Perrotti, Andrea (författare)
- University Hospital Jean Minjoz
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- Bounader, Karl (författare)
- Pontchaillou University Hospital
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- Alkhamees, Khalid (författare)
- Prince Sultan Cardiac Center
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- Loforte, Antonio (författare)
- University of Bologna
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- Lechiancole, Andrea (författare)
- University Hospital of Udine
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- Pol, Marek (författare)
- Institute for Clinical and Experimental Medicine (IKEM)
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- Pettinari, Matteo (författare)
- Hospital Oost-Limburg
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- De Keyzer, Dieter (författare)
- Hospital Oost-Limburg
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- Vento, Antti (författare)
- Helsinki University Central Hospital
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- Welp, Henryk (författare)
- University Hospital Münster
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- Fux, Thomas (författare)
- Karolinska Institutet
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- Yusuff, Hakeem (författare)
- Glenfield Hospital
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- Maselli, Daniele (författare)
- S. Anna Hospital
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- Juvonen, Tatu (författare)
- Helsinki University Central Hospital
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- Mariscalco, Giovanni (författare)
- Glenfield Hospital
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(creator_code:org_t)
- Elsevier BV, 2022
- 2022
- Engelska.
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Ingår i: Journal of Cardiothoracic and Vascular Anesthesia. - : Elsevier BV. - 1053-0770 .- 1532-8422. ; 36:6, s. 1678-1685
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: There is a paucity of sex-specific data on patients’ postcardiotomy venoarterial extracorporeal membrane oxygenation (VA-ECMO). The present study sought to assess this issue in a multicenter study. Design: Retrospective, propensity score–matched analysis of an international registry. Setting: Multicenter study, tertiary university hospitals. Participants: Data on adult patients undergoing postcardiotomy VA-ECMO. Measurements and Main Results: Between January 2010 and March 2018, patients treated with postcardiotomy VA-ECMO at 17 cardiac surgery centers were analyzed. Index procedures considered were coronary artery bypass graft surgery, isolated valve surgery, their combination, and proximal aortic root surgery. Hospital and five-year mortality constituted the endpoints of interest. Propensity score matching was adopted with logistic regression. A total of 358 patients (mean age: 63.3 ± 12.3 years; 29.6% female) were identified. Among 94 propensity score–matched pairs, women had a higher hospital mortality (70.5% v 56.4%, p = 0.049) compared with men. Logistic regression analysis showed that women (odds ratio [OR], 1.87; 95% confidence interval [CI] 1.10-3.16), age (OR, 1.06; 95%CI 1.04-1.08) and pre-ECMO arterial lactate (OR, 1.09; 95%CI 1.04-1.16) were independent predictors of hospital mortality. No differences between female and male patients were observed for other outcomes. Among propensity score–matched pairs, one-, three-, and five-year mortality were 60.6%, 65.0%, and 65.0% among men, and 71.3%, 71.3%, and 74.0% among women, respectively (p = 0.110, adjusted hazard ratio, 1.27; 95%CI 0.96-1.66). Conclusions: In postcardiotomy VA-ECMO, female patients demonstrated higher hospital mortality than men. Morbidity and late mortality were similar between the two groups.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- cardiac surgery
- complications
- ECMO
- gender
- survival
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Biancari, Fausto
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Dalén, Magnus
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Fiore, Antonio
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Dell'Aquila, Ang ...
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Jónsson, Kristjá ...
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Ragnarsson, Sigu ...
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visa fler...
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Gatti, Giuseppe
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Gabrielli, Marco
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Zipfel, Svante
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Ruggieri, Vito G ...
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Perrotti, Andrea
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Bounader, Karl
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Alkhamees, Khali ...
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Loforte, Antonio
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Lechiancole, And ...
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Pol, Marek
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Pettinari, Matte ...
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De Keyzer, Diete ...
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Vento, Antti
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Welp, Henryk
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Fux, Thomas
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Yusuff, Hakeem
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Maselli, Daniele
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Juvonen, Tatu
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Mariscalco, Giov ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Journal of Cardi ...
- Av lärosätet
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Lunds universitet
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Karolinska Institutet