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Multicenter study o...
Multicenter study on postcardiotomy venoarterial extracorporeal membrane oxygenation
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- Biancari, Fausto (author)
- University of Oulu,Turku University Hospital
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- Dalén, Magnus (author)
- Karolinska Institutet
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- Fiore, Antonio (author)
- Henri Mondor Hospital
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- Ruggieri, Vito G. (author)
- Robert Debré University Hospital
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- Saeed, Diyar (author)
- University Hospital of Düsseldorf
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- Jónsson, Kristján (author)
- Sahlgrenska University Hospital
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- Gatti, Giuseppe (author)
- University Hospital Of Trieste
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- Zipfel, Svante (author)
- University Medical Center Hamburg-Eppendorf
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- Perrotti, Andrea (author)
- University of Hamburg
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Bounader, Karl (author)
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- Loforte, Antonio (author)
- St. Orsola-Malpighi University Hospital,University of Bologna
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- Lechiancole, Andrea (author)
- University Hospital of Udine
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- Pol, Marek (author)
- Institute for Clinical and Experimental Medicine (IKEM)
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- Spadaccio, Cristiano (author)
- Pontchaillou University Hospital
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- Pettinari, Matteo (author)
- Hospital Oost-Limburg
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- Ragnarsson, Sigurdur (author)
- Lund 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,Skåne University Hospital
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- Alkhamees, Khalid (author)
- Prince Sultan Cardiac Center
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- Mariscalco, Giovanni (author)
- Glenfield Hospital
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- Welp, Henryk (author)
- University Hospital Münster
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- Pälve, Kristiina (author)
- Turku University Hospital
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- Anttila, Vesa (author)
- Turku University Hospital
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- Fux, Thomas (author)
- Karolinska University Hospital
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- Amr, Gilles (author)
- Robert Debré University Hospital
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- Kalampokas, Nikolaos (author)
- University Hospital of Düsseldorf
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- Lichtenberg, Artur (author)
- University Hospital of Düsseldorf
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- Jeppsson, Anders (author)
- Sahlgrenska University Hospital
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- Gabrielli, Marco (author)
- University Hospital Of Trieste
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- Reichart, Daniel (author)
- University Medical Center Hamburg-Eppendorf
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Chocron, Sidney (author)
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- Fiorentino, Mariafrancesca (author)
- St. Orsola-Malpighi University Hospital
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- Livi, Ugolino (author)
- University Hospital of Udine
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- Netuka, Ivan (author)
- Institute for Clinical and Experimental Medicine (IKEM)
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- De Keyzer, Dieter (author)
- Hospital Oost-Limburg
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- Mogianos, Krister (author)
- Lund University
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- El Dean, Zein (author)
- Glenfield Hospital
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- Dell'Aquila, Angelo M. (author)
- University Hospital Münster
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Settembre, Nicla (author)
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- Rosato, Stefano (author)
- Italian National Institute of Health (ISS)
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(creator_code:org_t)
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- Elsevier BV, 2020
- 2020
- English 11 s.
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In: Journal of Thoracic and Cardiovascular Surgery. - : Elsevier BV. - 0022-5223 .- 1097-685X. ; 159:5, s. 1844-1854
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http://dx.doi.org/10...
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Abstract
Subject headings
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- Objectives: The aim of this study was to identify the risk factors associated with early mortality after postcardiotomy venoarterial extracorporeal membrane oxygenation. Methods: This is an analysis of the postcardiotomy extracorporeal membrane oxygenation registry, a retrospective multicenter cohort study including 781 patients aged more than 18 years who required venoarterial extracorporeal membrane oxygenation for cardiopulmonary failure after cardiac surgery from 2010 to 2018 at 19 cardiac surgery centers. Results: After a mean venoarterial extracorporeal membrane oxygenation therapy of 6.9 ± 6.2 days, hospital and 1-year mortality were 64.4% and 67.2%, respectively. Hospital mortality after venoarterial extracorporeal membrane oxygenation therapy for more than 7 days was 60.5% (P = .105). Centers that had treated more than 50 patients with postcardiotomy venoarterial extracorporeal membrane oxygenation had a significantly lower hospital mortality than lower-volume centers (60.7% vs 70.7%, adjusted odds ratio, 0.58; 95% confidence interval, 0.41-0.82). The postcardiotomy extracorporeal membrane oxygenation score was derived by assigning a weighted integer to each independent pre–venoarterial extracorporeal membrane oxygenation predictors of hospital mortality as follows: female gender (1 point), advanced age (60-69 years, 2 points; ≥70 years, 4 points), prior cardiac surgery (1 point), arterial lactate 6.0 mmol/L or greater before venoarterial extracorporeal membrane oxygenation (2 points), aortic arch surgery (4 points), and preoperative stroke/unconsciousness (5 points). The hospital mortality rates according to the postcardiotomy extracorporeal membrane oxygenation score was 0 point, 45.6%; 1 point, 40.5%; 2 points, 51.1%; 3 points, 57.8%; 4 points, 70.7%; 5 points, 68.3%; 6 points, 77.5%; and 7 points or more, 89.7% (P < .0001). Conclusions: Age, female gender, prior cardiac surgery, preoperative acute neurologic events, aortic arch surgery, and increased arterial lactate were associated with increased risk of early mortality after postcardiotomy venoarterial extracorporeal membrane oxygenation. Center experience with postcardiotomy venoarterial extracorporeal membrane oxygenation may contribute to improved results.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- cardiac surgery
- extracorporeal membrane oxygenation
- postcardiotomy
- venoarterial
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Biancari, Fausto
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Dalén, Magnus
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Fiore, Antonio
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Ruggieri, Vito G ...
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Saeed, Diyar
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Jónsson, Kristjá ...
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show more...
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Gatti, Giuseppe
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Zipfel, Svante
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Perrotti, Andrea
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Bounader, Karl
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Loforte, Antonio
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Lechiancole, And ...
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Pol, Marek
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Spadaccio, Crist ...
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Pettinari, Matte ...
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Ragnarsson, Sigu ...
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Alkhamees, Khali ...
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Mariscalco, Giov ...
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Welp, Henryk
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Pälve, Kristiina
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Anttila, Vesa
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Fux, Thomas
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Amr, Gilles
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Kalampokas, Niko ...
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Lichtenberg, Art ...
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Jeppsson, Anders
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Gabrielli, Marco
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Reichart, Daniel
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Chocron, Sidney
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Fiorentino, Mari ...
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Livi, Ugolino
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Netuka, Ivan
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De Keyzer, Diete ...
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Mogianos, Kriste ...
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El Dean, Zein
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Dell'Aquila, Ang ...
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Settembre, Nicla
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Rosato, Stefano
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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Journal of Thora ...
- By the university
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Lund University
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Karolinska Institutet