Gender and the outcome of postcardiotomy venoarterial extracorporeal membrane oxygenation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F22%3A00083399" target="_blank" >RIV/00023001:_____/22:00083399 - isvavai.cz</a>

Result on the web

<a href="https://reader.elsevier.com/reader/sd/pii/S1053077021004237?token=9ACD40907B6FDECA7026894ABE50C79B80BAA86110FFB50A35E91C0CECC94E4B7ECB3742BF3BDA199D1BC1B5EF2EA1A9&originRegion=eu-west-1&originCreation=20221108141113" target="_blank" >https://reader.elsevier.com/reader/sd/pii/S1053077021004237?token=9ACD40907B6FDECA7026894ABE50C79B80BAA86110FFB50A35E91C0CECC94E4B7ECB3742BF3BDA199D1BC1B5EF2EA1A9&originRegion=eu-west-1&originCreation=20221108141113</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1053/j.jvca.2021.05.015" target="_blank" >10.1053/j.jvca.2021.05.015</a>

Result language

angličtina

Original language name

Gender and the outcome of postcardiotomy venoarterial extracorporeal membrane oxygenation

Original language description

Objective: There is a paucity of sex-specific data on patients&apos; postcardiotomy venoarterial extracorporeal membrane oxygenation (VA-ECMO). The present study sought to assess this issue in a multicenter study. Design: Retrospective, propensity score-matched analysis of an international registry. Setting: Multicenter study, tertiary university hospitals. Participants: Data on adult patients undergoing postcardiotomy VA-ECMO. Measurements and Main Results: Between January 2010 and March 2018, patients treated with postcardiotomy VA-ECMO at 17 cardiac surgery centers were analyzed. Index procedures considered were coronary artery bypass graft surgery, isolated valve surgery, their combination, and proximal aortic root surgery. Hospital and five-year mortality constituted the endpoints of interest. Propensity score matching was adopted with logistic regression. A total of 358 patients (mean age: 63.3 +/- 12.3 years; 29.6% female) were identified. Among 94 propensity score-matched pairs, women had a higher hospital mortality (70.5% v 56.4%, p = 0.049) compared with men. Logistic regression analysis showed that women (odds ratio [OR], 1.87; 95% confidence interval [CI] 1.10-3.16), age (OR, 1.06; 95%CI 1.04-1.08) and pre-ECMO arterial lactate (OR, 1.09; 95%CI 1.04-1.16) were independent predictors of hospital mortality. No differences between female and male patients were observed for other outcomes. Among propensity score-matched pairs, one-, three-, and five-year mortality were 60.6%, 65.0%, and 65.0% among men, and 71.3%, 71.3%, and 74.0% among women, respectively (p = 0.110, adjusted hazard ratio, 1.27; 95%CI 0.96-1.66). Conclusions: In postcardiotomy VA-ECMO, female patients demonstrated higher hospital mortality than men. Morbidity and late mortality were similar between the two groups. (C) 2021 Elsevier Inc. All rights reserved.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of cardiothoracic and vascular anesthesia

ISSN

1053-0770

e-ISSN

1532-8422

Volume of the periodical

36

Issue of the periodical within the volume

6

Country of publishing house

US - UNITED STATES

Number of pages

8

Pages from-to

1678-1685

UT code for WoS article

000830882400003

EID of the result in the Scopus database

2-s2.0-85108508936