The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome.

Hdl Handle:
http://hdl.handle.net/10147/107558
Title:
The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome.
Authors:
Parissis, Haralabos; Leotsinidis, Michael; Akbar, Mohammad Tauqeer; Apostolakis, Efstratios; Dougenis, Dimitrios
Affiliation:
Royal Victoria Hospital, Cardiothoracic Department, Belfast, Nothern Ireland. hparissis@yahoo.co.uk
Citation:
The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome. 2010, 5:20 J Cardiothorac Surg
Journal:
Journal of cardiothoracic surgery
Issue Date:
2010
URI:
http://hdl.handle.net/10147/107558
DOI:
10.1186/1749-8090-5-20
PubMed ID:
20367880
Abstract:
BACKGROUND: The early and intermediate outcome of patients requiring intraaortic balloon pump (IABP) was studied in a cohort of 2697 adult cardiac surgical patients. METHODS: 136 patients requiring IABP (5.04%) support analysed over a 4 year period. Prospective data collection, obtained. RESULTS: The overall operative mortality was 35.3%. The "operation specific" mortality was higher on the Valve population.The mortality (%) as per time of balloon insertion was: Preoperative 18.2, Intraoperative 33.3, postoperative 58.3 (p < 0.05).The incremental risk factors for death were: Female gender (Odds Ratio (OR) = 3.87 with Confidence Intervals (CI) = 1.3-11.6), Smoking (OR = 4.88, CI = 1.23- 19.37), Preoperative Creatinine>120 (OR = 3.3, CI = 1.14-9.7), Cross Clamp time>80 min (OR = 4.16, CI = 1.73-9.98) and IABP insertion postoperatively (OR = 19.19, CI = 3.16-116.47).The incremental risk factors for the development of complications were: Poor EF (OR = 3.16, CI = 0.87-11.52), Euroscore >7 (OR = 2.99, CI = 1.14-7.88), history of PVD (OR = 4.99, CI = 1.32-18.86).The 5 years survival was 79.2% for the CABG population and 71.5% for the valve group. (Hazard ratio = 1.78, CI = 0.92-3.46). CONCLUSIONS: IABP represents a safe option of supporting the failing heart. The need for IABP especially in a high risk Valve population is associated with early unfavourable outcome, however the positive mid term results further justify its use.
Language:
en
Keywords:
MEDICINE; SURGERY
Local subject classification:
CARDIOTHORACIC SURGERY
MeSH:
Aged; Cardiac Surgical Procedures; Chi-Square Distribution; Coronary Artery Bypass; Creatinine; Female; Hospital Mortality; Humans; Intra-Aortic Balloon Pumping; Male; Risk Assessment; Risk Factors; Survival Rate; Treatment Outcome
ISSN:
1749-8090

Full metadata record

DC FieldValue Language
dc.contributor.authorParissis, Haralabosen
dc.contributor.authorLeotsinidis, Michaelen
dc.contributor.authorAkbar, Mohammad Tauqeeren
dc.contributor.authorApostolakis, Efstratiosen
dc.contributor.authorDougenis, Dimitriosen
dc.date.accessioned2010-07-13T14:00:53Z-
dc.date.available2010-07-13T14:00:53Z-
dc.date.issued2010-
dc.identifier.citationThe need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome. 2010, 5:20 J Cardiothorac Surgen
dc.identifier.issn1749-8090-
dc.identifier.pmid20367880-
dc.identifier.doi10.1186/1749-8090-5-20-
dc.identifier.urihttp://hdl.handle.net/10147/107558-
dc.description.abstractBACKGROUND: The early and intermediate outcome of patients requiring intraaortic balloon pump (IABP) was studied in a cohort of 2697 adult cardiac surgical patients. METHODS: 136 patients requiring IABP (5.04%) support analysed over a 4 year period. Prospective data collection, obtained. RESULTS: The overall operative mortality was 35.3%. The "operation specific" mortality was higher on the Valve population.The mortality (%) as per time of balloon insertion was: Preoperative 18.2, Intraoperative 33.3, postoperative 58.3 (p < 0.05).The incremental risk factors for death were: Female gender (Odds Ratio (OR) = 3.87 with Confidence Intervals (CI) = 1.3-11.6), Smoking (OR = 4.88, CI = 1.23- 19.37), Preoperative Creatinine>120 (OR = 3.3, CI = 1.14-9.7), Cross Clamp time>80 min (OR = 4.16, CI = 1.73-9.98) and IABP insertion postoperatively (OR = 19.19, CI = 3.16-116.47).The incremental risk factors for the development of complications were: Poor EF (OR = 3.16, CI = 0.87-11.52), Euroscore >7 (OR = 2.99, CI = 1.14-7.88), history of PVD (OR = 4.99, CI = 1.32-18.86).The 5 years survival was 79.2% for the CABG population and 71.5% for the valve group. (Hazard ratio = 1.78, CI = 0.92-3.46). CONCLUSIONS: IABP represents a safe option of supporting the failing heart. The need for IABP especially in a high risk Valve population is associated with early unfavourable outcome, however the positive mid term results further justify its use.-
dc.language.isoenen
dc.subjectMEDICINEen
dc.subjectSURGERYen
dc.subject.meshAged-
dc.subject.meshCardiac Surgical Procedures-
dc.subject.meshChi-Square Distribution-
dc.subject.meshCoronary Artery Bypass-
dc.subject.meshCreatinine-
dc.subject.meshFemale-
dc.subject.meshHospital Mortality-
dc.subject.meshHumans-
dc.subject.meshIntra-Aortic Balloon Pumping-
dc.subject.meshMale-
dc.subject.meshRisk Assessment-
dc.subject.meshRisk Factors-
dc.subject.meshSurvival Rate-
dc.subject.meshTreatment Outcome-
dc.subject.otherCARDIOTHORACIC SURGERYen
dc.titleThe need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome.en
dc.contributor.departmentRoyal Victoria Hospital, Cardiothoracic Department, Belfast, Nothern Ireland. hparissis@yahoo.co.uken
dc.identifier.journalJournal of cardiothoracic surgeryen

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