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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/57044ce41454-5b92-417c-97ae-0095947a4b1a
名前 / ファイル | ライセンス | アクション |
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6769.pdf (510.6 kB)
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Item type | 学術雑誌論文 / Journal Article_02(1) | |||||
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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 | |||||
主題 | Cardiac surgery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Intraaortic balloon pumping | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Low output syndrome | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
紙谷, 寛之
× 紙谷, 寛之× Maximilian, Schilling× Payam, Akhyari× Arjang, Ruhparwar× Klaus, Kallenbach× Matthias, Karck× Artur, Lichtenberg |
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著者 ローマ字 | ||||||
値 | Kamiya, Hiroyuki | |||||
書誌情報 |
General Thoracic and Cardiovascular Surgery 巻 64, 号 10, p. 584-591, 発行日 2016-10-01 |
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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. |
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注記 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 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 | |||||
内容記述 | text | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
ID(XooNIps) | ||||||
値 | 27456851 | |||||
閲覧数(XooNIps) | ||||||
値 | 557 | |||||
ダウンロード数(XooNIps) | ||||||
値 | 668 |