| Is it possible to predict outcome in cardiac ECMO? Analysis of preoperative risk factors. | |
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MedLine Citation:
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PMID: 18181509 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Serious heart failure may be treated with extracorporeal membrane oxygenation (ECMO) when other treatment fails. The aim of the present study was to analyse preoperative risk factors of early mortality in patients treated with veno-arterial (VA)-ECMO. METHODS: We studied a total of 18 possible risk factors in 80 patients with severe cardiac insufficiency treated with VA-ECMO. All consecutive cases treated at our institution between Sept.1990 and May 2006 were included. Univariate analysis and multiple logistic regression analysis were performed on 16 risk factors. The endpoint was early mortality (any death within 30 days of ECMO treatment). RESULTS: Thirty patients (37.5%) died within 30 days. Age, gender, cause of cardiac failure, pre-ECMO treatment (ventilator, NO, IABP) did not significantly influence early mortality. A higher SvO2 was associated with survival and remained significant in the multivariate analysis. CONCLUSION: Treatment with VA-ECMO in patients with severe cardiac failure may save lives. It is, however, difficult to predict outcome. In this study, only SvO2 values prior to ECMO were positively associated with survival. |
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Authors:
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Kari Wagner; Ivar Risnes; Michael Abdelnoor; Harald M Karlsen; Jan Ludvig Svennevig |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Perfusion Volume: 22 ISSN: 0267-6591 ISO Abbreviation: Perfusion Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2008-01-09 Completed Date: 2008-02-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8700166 Medline TA: Perfusion Country: England |
Other Details:
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Languages: eng Pagination: 225-9 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology, Rikshospitalet-Radiumhospitalet Medical Centre N-0027 Oslo, Norway. kari.wagner@rikshospitalet.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Extracorporeal Membrane Oxygenation* Female Heart Failure / mortality, therapy* Humans Infant Infant, Newborn Logistic Models Male Middle Aged Risk Factors Survival Rate Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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