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Sökning: WFRF:(Pettinari Matteo) > Duration of Venoart...

  • Mariscalco, GiovanniGlenfield Hospital (författare)

Duration of Venoarterial Extracorporeal Membrane Oxygenation and Mortality in Postcardiotomy Cardiogenic Shock

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • Elsevier BV,2021
  • 7 s.

Nummerbeteckningar

  • LIBRIS-ID:oai:lup.lub.lu.se:7fb83f2a-c730-4766-a10e-52e7162457b0
  • https://lup.lub.lu.se/record/7fb83f2a-c730-4766-a10e-52e7162457b0URI
  • https://doi.org/10.1053/j.jvca.2020.11.003DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:147226200URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype

Anmärkningar

  • Objective: The optimal duration of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients affected by postcardiotomy cardiogenic shock (PCS) remains controversial. The present study was conducted to investigate the effect of VA-ECMO duration on hospital outcomes. Design: Retrospective analysis of an international registry. Setting: Multicenter study including 19 tertiary university hospitals. Participants: Between January 2010 and March 2018, data on PCS patients receiving VA-ECMO were retrieved from the multicenter PC-ECMO registry. Interventions: Patients were stratified according to the following different durations of VA-ECMO therapy: ≤three days, four-to-seven days, eight-to-ten days, and >ten days. Measurements and Main Results: A total of 725 patients, with a mean age of 62.9 ± 12.9 years, were included. The mean duration of VA-ECMO was 7.1 ± 6.3 days (range 0-39 d), and 39.4% of patients were supported for ≤three days, 29.1% for four-seven days, 15.3% for eight-ten days, and finally 20.7% for >ten days. A total of 391 (53.9%) patients were weaned from VA-ECMO successfully; however, 134 (34.3%) of those patients died before discharge. Multivariate logistic regression showed that prolonged duration of VA-ECMO therapy (four-seven days: adjusted rate 53.6%, odds ratio [OR] 0.28, 95% confidence interval [CI] 0.18-0.44; eight-ten days: adjusted rate 61.3%, OR 0.51, 95% CI 0.29-0.87; and >ten days: adjusted rate 59.3%, OR 0.49, 95% CI 0.31-0.81) was associated with lower risk of mortality compared with VA-ECMO lasting ≤three days (adjusted rate 78.3%). Patients requiring VA-ECMO therapy for eight-ten days (OR 1.96, 95% CI 1.15-3.33) and >10 days (OR 1.85, 95% CI 1.14-3.02) had significantly greater mortality compared with those on VA-ECMO for 4 to 7 days. Conclusions: PCS patients weaned from VA-ECMO after four-seven days of support had significantly less mortality compared with those with shorter or longer mechanical support.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • El-Dean, ZeinGlenfield Hospital (författare)
  • Yusuff, HakeemGlenfield Hospital (författare)
  • Fux, ThomasKarolinska Institutet (författare)
  • Dell'Aquila, Angelo M.University Hospital Münster (författare)
  • Jónsson, KristjánSahlgrenska University Hospital (författare)
  • Ragnarsson, SigurdurLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-sdr (författare)
  • Fiore, AntonioHenri Mondor Hospital (författare)
  • Dalén, MagnusKarolinska Institutet (författare)
  • di Perna, DarioRobert Debré University Hospital (författare)
  • Gatti, GiuseppeUniversity Hospital Of Trieste (författare)
  • Juvonen, TatuUniversity of Oulu,Helsinki University Central Hospital (författare)
  • Zipfel, SvanteUniversity Medical Center Hamburg-Eppendorf (författare)
  • Perrotti, AndreaUniversity Hospital Jean Minjoz (författare)
  • Bounader, KarlPontchaillou University Hospital (författare)
  • Alkhamees, KhalidPrince Sultan Cardiac Center (författare)
  • Loforte, AntonioUniversity of Bologna (författare)
  • Lechiancole, AndreaUniversity Hospital of Udine (författare)
  • Pol, MarekInstitute for Clinical and Experimental Medicine (IKEM) (författare)
  • Spadaccio, CristianoGolden Jubilee National Hospital (författare)
  • Pettinari, MatteoHospital Oost-Limburg (författare)
  • De Keyzer, DieterHospital Oost-Limburg (författare)
  • Welp, HenrykUniversity Hospital Münster (författare)
  • Maselli, DanieleS. Anna Hospital (författare)
  • Lichtenberg, ArturUniversity Hospital of Düsseldorf (författare)
  • Ruggieri, Vito G.Robert Debré University Hospital (författare)
  • Biancari, FaustoHelsinki University Central Hospital,University of Turku,University of Oulu (författare)
  • Karolinska InstitutetGlenfield Hospital (creator_code:org_t)
  • PC-ECMO Group

Sammanhörande titlar

  • Ingår i:Journal of Cardiothoracic and Vascular Anesthesia: Elsevier BV35:9, s. 2662-26681053-07701532-8422

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