Mortality and cost of post-cardiotomy extracorporeal support in the United States.
In: Perfusion, Jg. 38 (2023-10-01), Heft 7, S. 1468-1477
Online
academicJournal
Zugriff:
Background: Extracorporeal membrane oxygenation (ECMO) has been used increasingly for cardiopulmonary rescue. Despite recent advances however, post-cardiotomy shock (PCS)-ECMO survival remains comparatively poor. We sought to evaluate outcomes and define factors that predict in-hospital mortality. Methods: We used the Nationwide Inpatient Sample (NIS) to evaluate adult hospitalizations with a primary procedure code for coronary artery bypass grafting (CABG), and/or valve procedures performed between 2013 and 2018, which also required post cardiotomy ECMO support. Patient-related factors and hospital costs were evaluated to identify those associated with in-hospital mortality. Results: There were 1,247,835 admissions for cardiac surgical procedures during the study period. Post-cardiotomy shock-ECMO support was provided in 4475 (0.3%) within the study cohort. A total of 2000 (44.7%) hospitalizations involved isolated valvular procedures, 1700 (38.0%) isolated CABG, and 775 (17.3%) involved a combination of both. Overall, in-hospital mortality was 42.1% (n = 1880). Factors significantly associated with in-hospital mortality included patients with multiple comorbidities (> 7) and those undergoing combination of valve and CABG procedures. Only 26.6% of those who survived to discharge, were discharged home independently. Conclusion: Survival to independent home discharge is rare following PCS-ECMO. Its high mortality is associated with multiple comorbidities and combination of CABG and valve surgery. [ABSTRACT FROM AUTHOR]
Titel: |
Mortality and cost of post-cardiotomy extracorporeal support in the United States.
|
---|---|
Autor/in / Beteiligte Person: | Kakuturu, Jahnavi ; Dhamija, Ankit ; Chan, Ernest ; Lagazzi, Luigi ; Thibault, Dylan ; Badhwar, Vinay ; Hayanga, J W A |
Link: | |
Zeitschrift: | Perfusion, Jg. 38 (2023-10-01), Heft 7, S. 1468-1477 |
Veröffentlichung: | 2023 |
Medientyp: | academicJournal |
ISSN: | 0267-6591 (print) |
DOI: | 10.1177/02676591221117355 |
Schlagwort: |
|
Sonstiges: |
|