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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 | |||||||||||||||||||||
| 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
× Maximilian, Schilling
× Payam, Akhyari
× Arjang, Ruhparwar
× Klaus, Kallenbach
× Matthias, Karck
× 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 |
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 1863-6705 | |||||||||||||||||||||
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| 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 | |||||||||||||||||||||
| 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/) | |||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||
| 資源タイプ | text | |||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||
| 内容記述 | application/pdf | |||||||||||||||||||||
| ID(XooNIps) | ||||||||||||||||||||||
| 27456851 | ||||||||||||||||||||||
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| 668 | ||||||||||||||||||||||
