Idioma:

Outcomes of extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in adult cardiac surgery patients

Mazzeffi, Michael A., MD, MPH ; Sanchez, Pablo G., MD ; Herr, Daniel, MD ; Krause, Eric, MD, JD ; Evans, Charles F., MD ; Rector, Raymond, CCP ; McCormick, Brian, CCP ; Pham, Si, MD ; Taylor, Bradley, MD, MPH ; Griffith, Bartley, MD ; Kon, Zachary N., MD

The Journal of thoracic and cardiovascular surgery, 2016-10, Vol.152 (4), p.1133-1139 [Periódico revisado por pares]

United States: Elsevier Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
Outcomes of extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in adult cardiac surgery patients
Autor: Mazzeffi, Michael A., MD, MPH ; Sanchez, Pablo G., MD ; Herr, Daniel, MD ; Krause, Eric, MD, JD ; Evans, Charles F., MD ; Rector, Raymond, CCP ; McCormick, Brian, CCP ; Pham, Si, MD ; Taylor, Bradley, MD, MPH ; Griffith, Bartley, MD ; Kon, Zachary N., MD
Assuntos: Adult ; Aged ; Aged, 80 and over ; cardiac arrest ; cardiac surgery ; Cardiac Surgical Procedures ; Cardiopulmonary Resuscitation - methods ; Cardiothoracic Surgery ; Echocardiography ; ECMO ; Female ; Heart Arrest - diagnostic imaging ; Heart Arrest - mortality ; Heart Arrest - therapy ; Hospital Mortality ; Humans ; Male ; Middle Aged ; Multiple Organ Failure - mortality ; resuscitation ; Retrospective Studies ; Risk Factors ; Survival Rate
É parte de: The Journal of thoracic and cardiovascular surgery, 2016-10, Vol.152 (4), p.1133-1139
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Abstract Background The role of extracorporeal cardiopulmonary resuscitation (ECPR) in adult cardiac surgery patients with refractory cardiac arrest is uncertain. We hypothesized that ECPR would be associated with better than expected outcomes in this group of patients. Methods We conducted a single-center retrospective cohort study of adult cardiac surgery patients who underwent ECPR for refractory cardiac arrest during a 6-year period (2010 to 2015). In-hospital mortality, survival at last follow-up, and cerebral performance category (CPC) were examined as outcomes, and potential risk factors for mortality were explored. Results Twenty-three patients underwent ECPR when spontaneous circulation did not return with conventional resuscitation. Thirty-day mortality was 65.2%, and in-hospital mortality was 69.6%. Six of the 23 patients (26.1%) were discharged with a favorable neurologic outcome, defined as CPC 1 or 2. Most patients who died had multiple organ dysfunction syndrome (43.8%), and a smaller number had severe brain injury (25.0%). Kaplan-Meier survival analysis suggested age as a critical factor affecting survival ( P = .04, log-rank test). Conclusions ECPR may have a role in younger adult cardiac surgery patients who experience refractory cardiac arrest. Future studies are needed to identify patients who will benefit most from ECPR.
Editor: United States: Elsevier Inc
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Anterior Resultado 9 Avançar Ir para próxima página

Realização: Logos de Redes Sociais:

Outcomes of extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in adult cardiac surgery patients

Mazzeffi, Michael A., MD, MPH ; Sanchez, Pablo G., MD ; Herr, Daniel, MD ; Krause, Eric, MD, JD ; Evans, Charles F., MD ; Rector, Raymond, CCP ; McCormick, Brian, CCP ; Pham, Si, MD ; Taylor, Bradley, MD, MPH ; Griffith, Bartley, MD ; Kon, Zachary N., MD

United States: Elsevier Inc

Buscando em bases de dados remotas. Favor aguardar.