Universität zu Köln

Ivanov, Borko, Krasivskyi, Ihor ORCID: 0000-0003-0573-8218, Gerfer, Stephen, Sabashnikov, Anton, Doss, Mirko, Holzhey, David ORCID: 0000-0002-0613-4419, Eghbalzadeh, Kaveh, Rustenbach, Christian ORCID: 0000-0003-2178-8397, Kuhn, Elmar, Rahmanian, Parwis Baradaran, Mader, Navid, Djordjevic, Ilija ORCID: 0000-0002-5810-8626 and Wahlers, Thorsten (2022). Impact of Initial Operative Urgency on Short-Term Outcomes in Patients Treated with ECMO Due to Postcardiotomy Cardiogenic Shock. Life-Basel, 12 (11). BASEL: MDPI. ISSN 2075-1729

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Abstract

The outcomes of patients with PCS and following ECMO therapy are associated with several preoperative risk factors. Our aim was to compare clinical presentation, ECMO-related data and in-hospital outcomes of patients treated with ECMO due to PCS after cardiac surgery, in regard to elective or emergent cardiac surgery procedures. Between April 2006 and October 2016, 164 consecutive patients that received VA-ECMO therapy due to PCS were identified and included in this retrospective cohort study. The patients were divided into groups based on the urgency of the initial procedures performed: elective group (ELG; n = 95) and an emergency group (EMG; n = 69). To compare the unequal patient groups, a propensity score-based matching (PSM) was applied (ELG, n = 56 vs. EMG, n = 56). The EMG primarily received ECMO intraoperatively (p <= 0.001). In contrast, the ELG were needed ECMO support more frequently postoperatively (p < 0.001). In-hospital mortality accounted for 71% (n = 40) in the ELG and 76% (n = 43) in the EMG (p = 0.518). Outcome data showed no major differences in the (abdominal ischemia (p = 0.371); septic shock (p = 0.393): rhythm disturbances (p = 0.575); emergency re-thoracotomy (p = 0.418)) between the groups. The urgency of the initial procedures performed is secondary in patients suffering PCS and following ECMO. In this regard, PCS itself seems to trigger outcomes in cardiac surgery ECMO patients substantially.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ivanov, Borko UNSPECIFIED UNSPECIFIED UNSPECIFIED Krasivskyi, Ihor UNSPECIFIED orcid.org/0000-0003-0573-8218 UNSPECIFIED Gerfer, Stephen UNSPECIFIED UNSPECIFIED UNSPECIFIED Sabashnikov, Anton UNSPECIFIED UNSPECIFIED UNSPECIFIED Doss, Mirko UNSPECIFIED UNSPECIFIED UNSPECIFIED Holzhey, David UNSPECIFIED orcid.org/0000-0002-0613-4419 UNSPECIFIED Eghbalzadeh, Kaveh UNSPECIFIED UNSPECIFIED UNSPECIFIED Rustenbach, Christian UNSPECIFIED orcid.org/0000-0003-2178-8397 UNSPECIFIED Kuhn, Elmar UNSPECIFIED UNSPECIFIED UNSPECIFIED Rahmanian, Parwis Baradaran UNSPECIFIED UNSPECIFIED UNSPECIFIED Mader, Navid UNSPECIFIED UNSPECIFIED UNSPECIFIED Djordjevic, Ilija UNSPECIFIED orcid.org/0000-0002-5810-8626 UNSPECIFIED Wahlers, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-678456
DOI:	10.3390/life12111872
Journal or Publication Title:	Life-Basel
Volume:	12
Number:	11
Date:	2022
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	2075-1729
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXTRACORPOREAL MEMBRANE-OXYGENATION; EXPERIENCE; MORTALITY; SURVIVAL; SUPPORT Multiple languages Biology; Microbiology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67845