The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome.
dc.contributor.author | Parissis, Haralabos | |
dc.contributor.author | Leotsinidis, Michael | |
dc.contributor.author | Akbar, Mohammad Tauqeer | |
dc.contributor.author | Apostolakis, Efstratios | |
dc.contributor.author | Dougenis, Dimitrios | |
dc.date.accessioned | 2010-07-13T14:00:53Z | |
dc.date.available | 2010-07-13T14:00:53Z | |
dc.date.issued | 2010 | |
dc.identifier.citation | The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome. 2010, 5:20 J Cardiothorac Surg | en |
dc.identifier.issn | 1749-8090 | |
dc.identifier.pmid | 20367880 | |
dc.identifier.doi | 10.1186/1749-8090-5-20 | |
dc.identifier.uri | http://hdl.handle.net/10147/107558 | |
dc.description.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. | |
dc.language.iso | en | en |
dc.subject | MEDICINE | en |
dc.subject | SURGERY | en |
dc.subject.mesh | Aged | |
dc.subject.mesh | Cardiac Surgical Procedures | |
dc.subject.mesh | Chi-Square Distribution | |
dc.subject.mesh | Coronary Artery Bypass | |
dc.subject.mesh | Creatinine | |
dc.subject.mesh | Female | |
dc.subject.mesh | Hospital Mortality | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Intra-Aortic Balloon Pumping | |
dc.subject.mesh | Male | |
dc.subject.mesh | Risk Assessment | |
dc.subject.mesh | Risk Factors | |
dc.subject.mesh | Survival Rate | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.other | CARDIOTHORACIC SURGERY | en |
dc.title | The need for intra aortic balloon pump support following open heart surgery: risk analysis and outcome. | en |
dc.contributor.department | Royal Victoria Hospital, Cardiothoracic Department, Belfast, Nothern Ireland. hparissis@yahoo.co.uk | en |
dc.identifier.journal | Journal of cardiothoracic surgery | en |
refterms.dateFOA | 2018-08-22T08:24:06Z | |
html.description.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. |