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Outcome analysis for prediction of early and long-term survival in patients receiving intra-aortic balloon pumping after cardiac surgery

https://asahikawa-med.repo.nii.ac.jp/records/5704
https://asahikawa-med.repo.nii.ac.jp/records/5704
4ce41454-5b92-417c-97ae-0095947a4b1a
名前 / ファイル ライセンス アクション
6769.pdf 6769.pdf (510.6 kB)
Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2017-08-23
タイトル
タイトル Outcome analysis for prediction of early and long-term survival in patients receiving intra-aortic balloon pumping after cardiac surgery
言語
言語 eng
キーワード
主題Scheme Other
キーワード Cardiac surgery
キーワード
主題Scheme Other
キーワード Intraaortic balloon pumping
キーワード
主題Scheme Other
キーワード Low output syndrome
資源タイプ
資源タイプ journal article
著者 紙谷, 寛之

× 紙谷, 寛之

紙谷, 寛之

ja-Kana カミヤ, ヒロユキ

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Maximilian, Schilling

× Maximilian, Schilling

Maximilian, Schilling

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Payam, Akhyari

× Payam, Akhyari

Payam, Akhyari

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Arjang, Ruhparwar

× Arjang, Ruhparwar

Arjang, Ruhparwar

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Klaus, Kallenbach

× Klaus, Kallenbach

Klaus, Kallenbach

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Matthias, Karck

× Matthias, Karck

Matthias, Karck

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Artur, Lichtenberg

× Artur, Lichtenberg

Artur, Lichtenberg

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著者 ローマ字
Kamiya, Hiroyuki
書誌情報 General Thoracic and Cardiovascular Surgery

巻 64, 号 10, p. 584-591, 発行日 2016-10-01
ISSN
収録物識別子タイプ ISSN
収録物識別子 1863-6705
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 10.1007/s11748-016-0679-3
識別番号 その他
内容記述タイプ Other
内容記述 PMID:27456851
抄録
内容記述タイプ Abstract
内容記述 BACKGROUND:
\nPatients requiring an intra-aortic balloon pump (IABP) after cardiac surgery are critically ill and need a prolonged ICU stay. Considering limited health care resources, the early identification of patients with an extremely poor prognosis is important as a solid base for the decision whether further aggressive continuation or cessation of the therapy is recommendable.
METHODS:
\nFrom 2001 to 2007, 552 patients with low-output syndrome after open-heart surgery and IABP implantation in OR or within 24 h thereafter on ICU were retrospectively analyzed.
RESULTS:
\nThe overall mortality at 30 and 180-day were 31 and 40 %, respectively. According to multivariate analyses, following factors were used to generate an IABP score: female gender, age ≥70 years, simultaneous coronary and valve surgery, aortic cross-clamp time >120 min., need of norepinephrin more than 0.4 µg kg(-1) min(-1), postoperative dialysis, and maximal serum creatinine kinase >3000 mg mL(-1). The 30-day mortality continuously increased along the score (10.1 % for score = 0, n = 98; 11.8 % for score = 1, n = 144; 27.5 % for score = 2, n = 153; 40.4 % score = 3, n = 89; 65.2 % for score = 4, n = 46; 77.8 % for score = 5, n = 27) and reached 100 % for all patients with a score of 6 (n = 4).
CONCLUSIONS:
\nPrediction of 30 days mortality was possible with our scoring system based on multivariate analysis, and patients with scores of 4 or greater had remarkably worse early and late survival.
注記
内容記述タイプ Other
注記 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)
資源タイプ
内容記述タイプ Other
資源タイプ text
著者版フラグ
出版タイプ VoR
フォーマット
内容記述タイプ Other
内容記述 application/pdf
ID(XooNIps)
27456851
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ダウンロード数(XooNIps)
668
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