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Predictive Score for Survival After Percutaneous Cardiopulmonary Support in Cardiovascular Disease Patients.
MedLine Citation:
PMID:  23615051     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: The predictive factors for survival after percutaneous cardiopulmonary support (PCPS) are unknown. Methods and Results: Data for 105 patients with cardiovascular disease requiring PCPS were analyzed. The patients were divided into a survivor (n=21) or a non-survivor group (n=84). The age was significantly lower, and there were more patients with fulminant myocarditis and PCPS attempted before cardiac arrest (CA) in the survivor group. Additionally, there were fewer cases of out-of-hospital CA, and the mean time from CA to PCPS was shorter in the survivor group. On multivariate logistic regression it was found that the age and the time from CA to PCPS were independently associated with survival. A predictive scoring system was constructed that included the following: (1) age <50 years; (2) diagnosis of fulminant myocarditis; (3) no out-of-hospital CA; (4) PCPS attempted before CA; and (5) time from CA to PCPS <45min. The predictive score was significantly higher in the survivor than in the non-survivor group (2.33±1.32 vs. 1.06±1.02). The sensitivity and specificity for survival were 85.7% and 66.7% when the score was ≥2. Kaplan-Meier survival analysis showed that any-cause death was significantly higher in patients with PCPS survival score ≤1 than in those with a score ≥2. Conclusions: PCPS survival score is suitable for clinically predicting survival in patients with cardiovascular disease undergoing PCPS.
Authors:
Akihiro Shirakabe; Ayaka Nozaki; Noritake Hata; Nobuaki Kobayashi; Takuro Shinada; Kazunori Tomita; Masafumi Tsurumi; Masato Matsushita; Hirotake Okazaki; Yoshiya Yamamoto; Shinya Yokoyama; Kuniya Asai; Kyoichi Mizuno
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-4-25
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  -     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-4-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Division of Intensive Care Unit, Chiba Hokusoh Hospital, Nippon Medical School.
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