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20 results on '"Hernández-Pérez, Francisco J."'

1. Donación en asistolia controlada: cómo iniciar un programa

Author

Villar-García, Susana, Martín-López, Carlos E., Pérez-Redondo, Marina, Hernández-Pérez, Francisco J., Martínez-López, Daniel, de Villarreal-Soto, Juan E., Ríos-Rosado, Elsa C., Vera-Puente, Beatriz, Ospina-Mosquera, Víctor M., Serrano-Fiz, Santiago, and Forteza-Gil, Alberto

Published
2022
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2. Hyperlactatemia and poor outcome After postcardiotomy veno-arterial extracorporeal membrane oxygenation: An individual patient data meta-Analysis.

Author

Biancari, Fausto, Kaserer, Alexander, Perrotti, Andrea, Ruggieri, Vito G, Cho, Sung-Min, Kang, Jin Kook, Dalén, Magnus, Welp, Henryk, Jónsson, Kristján, Ragnarsson, Sigurdur, Hernández Pérez, Francisco J, Gatti, Giuseppe, Alkhamees, Khalid, Loforte, Antonio, Lechiancole, Andrea, Rosato, Stefano, Spadaccio, Cristiano, Pettinari, Matteo, Mariscalco, Giovanni, and Mäkikallio, Timo

Subjects
WORLD Wide Web, EXTRACORPOREAL membrane oxygenation, META-analysis, DESCRIPTIVE statistics, SURGICAL complications, SYSTEMATIC reviews, MEDLINE, ODDS ratio, HYPERLACTATEMIA, ONLINE information services, CONFIDENCE intervals, CARDIAC surgery
Abstract

Introduction: Postcardiotomy veno-arterial extracorporeal membrane oxygenation (V-A-ECMO) is associated with significant mortality. Identification of patients at very high risk for death is elusive and the decision to initiate V-A-ECMO is based on clinical judgment. The prognostic impact of pre-V-A-ECMO arterial lactate level in these critically ill patients has been herein evaluated. Methods: A systematic review was conducted to identify studies on postcardiotomy VA-ECMO for the present individual patient data meta-analysis. Results: Overall, 1269 patients selected from 10 studies were included in this analysis. Arterial lactate level at V-A-ECMO initiation was increased in patients who died during the index hospitalization compared to those who survived (9.3 vs 6.6 mmol/L, p < 0.0001). Accordingly, in hospital mortality increased along quintiles of pre-V-A-ECMO arterial lactate level (quintiles: 1, 54.9%; 2, 54.9%; 3, 67.3%; 4, 74.2%; 5, 82.2%, p < 0.0001). The best cut-off for arterial lactate was 6.8 mmol/L (in-hospital mortality, 76.7% vs. 55.7%, p < 0.0001). Multivariable multilevel mixed-effect logistic regression model including arterial lactate level significantly increased the area under the receiver operating characteristics curve (0.731, 95% CI 0.702–0.760 vs 0.679, 95% CI 0.648–0.711, DeLong test p < 0.0001). Classification and regression tree analysis showed the in-hospital mortality was 85.2% in patients aged more than 70 years with pre-V-A-ECMO arterial lactate level ≥6.8 mmol/L. Conclusions: Among patients requiring postcardiotomy V-A-ECMO, hyperlactatemia was associated with a marked increase of in-hospital mortality. Arterial lactate may be useful in guiding the decision-making process and the timing of initiation of postcardiotomy V-A-ECMO. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Inter-institutional analysis of the outcome after postcardiotomy veno-arterial extracorporeal membrane oxygenation

Author

Biancari, Fausto, primary, Mäkikallio, Timo, additional, Loforte, Antonio, additional, Kaserer, Alexander, additional, Ruggieri, Vito G, additional, Cho, Sung-Min, additional, Kang, Jin Kook, additional, Dalén, Magnus, additional, Welp, Henryk, additional, Jónsson, Kristján, additional, Ragnarsson, Sigurdur, additional, Hernández Pérez, Francisco J, additional, Gatti, Giuseppe, additional, Alkhamees, Khalid, additional, Fiore, Antonio, additional, Lechiancole, Andrea, additional, Rosato, Stefano, additional, Spadaccio, Cristiano, additional, Pettinari, Matteo, additional, Perrotti, Andrea, additional, Sahli, Sebastian D, additional, L’Acqua, Camilla, additional, Arafat, Amr A, additional, Albabtain, Monirah A, additional, AlBarak, Mohammed M, additional, Laimoud, Mohamed, additional, Djordjevic, Ilija, additional, Krasivskyi, Ihor, additional, Samalavicius, Robertas, additional, Jankuviene, Agne, additional, Alonso-Fernandez-Gatta, Marta, additional, Wilhelm, Markus J, additional, Juvonen, Tatu, additional, and Mariscalco, Giovanni, additional

Published
2023
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5. Inter-institutional analysis of the outcome after postcardiotomy veno-arterial extracorporeal membrane oxygenation.

Author

Biancari, Fausto, Mäkikallio, Timo, Loforte, Antonio, Kaserer, Alexander, Ruggieri, Vito G, Cho, Sung-Min, Kang, Jin Kook, Dalén, Magnus, Welp, Henryk, Jónsson, Kristján, Ragnarsson, Sigurdur, Hernández Pérez, Francisco J, Gatti, Giuseppe, Alkhamees, Khalid, Fiore, Antonio, Lechiancole, Andrea, Rosato, Stefano, Spadaccio, Cristiano, Pettinari, Matteo, and Perrotti, Andrea

Published
2024
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6. Hyperlactatemia and poor outcome After postcardiotomy veno-arterial extracorporeal membrane oxygenation: An individual patient data meta-Analysis

Author

Biancari, Fausto, primary, Kaserer, Alexander, additional, Perrotti, Andrea, additional, Ruggieri, Vito G, additional, Cho, Sung-Min, additional, Kang, Jin Kook, additional, Dalén, Magnus, additional, Welp, Henryk, additional, Jónsson, Kristján, additional, Ragnarsson, Sigurdur, additional, Hernández Pérez, Francisco J, additional, Gatti, Giuseppe, additional, Alkhamees, Khalid, additional, Loforte, Antonio, additional, Lechiancole, Andrea, additional, Rosato, Stefano, additional, Spadaccio, Cristiano, additional, Pettinari, Matteo, additional, Mariscalco, Giovanni, additional, Mäkikallio, Timo, additional, Sahli, Sebastian D, additional, L’Acqua, Camilla, additional, Arafat, Amr A, additional, Albabtain, Monirah A, additional, AlBarak, Mohammed M, additional, Laimoud, Mohamed, additional, Djordjevic, Ilija, additional, Krasivskyi, Ihor, additional, Samalavicius, Robertas, additional, Puodziukaite, Lina, additional, Alonso-Fernandez-Gatta, Marta, additional, Spahn, Donat R, additional, and Fiore, Antonio, additional

Published
2023
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7. Central versus Peripheral Postcardiotomy Veno-Arterial Extracorporeal Membrane Oxygenation: Systematic Review and Individual Patient Data Meta-Analysis

Author

Biancari, Fausto, primary, Kaserer, Alexander, additional, Perrotti, Andrea, additional, Ruggieri, Vito G., additional, Cho, Sung-Min, additional, Kang, Jin Kook, additional, Dalén, Magnus, additional, Welp, Henryk, additional, Jónsson, Kristján, additional, Ragnarsson, Sigurdur, additional, Hernández Pérez, Francisco J., additional, Gatti, Giuseppe, additional, Alkhamees, Khalid, additional, Loforte, Antonio, additional, Lechiancole, Andrea, additional, Rosato, Stefano, additional, Spadaccio, Cristiano, additional, Pettinari, Matteo, additional, Fiore, Antonio, additional, Mäkikallio, Timo, additional, Sahli, Sebastian D., additional, L’Acqua, Camilla, additional, Arafat, Amr A., additional, Albabtain, Monirah A., additional, AlBarak, Mohammed M., additional, Laimoud, Mohamed, additional, Djordjevic, Ilija, additional, Krasivskyi, Ihor, additional, Samalavicius, Robertas, additional, Puodziukaite, Lina, additional, Alonso-Fernandez-Gatta, Marta, additional, Wilhelm, Markus J., additional, and Mariscalco, Giovanni, additional

Published
2022
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9. Lack of Usefulness of Donor-Derived Cell-Free DNA as a Biomarker for Cardiac Allograft Vasculopathy: A Prospective Study

Author

Jiménez-Blanco Bravo, Marta, primary, Pérez-Gómez, Laura, additional, Hernández-Pérez, Francisco J., additional, Arellano-Serrano, Carlos, additional, Torres-Sanabria, Mario, additional, Gómez-Bueno, Manuel, additional, Oteo-Domínguez, Juan F., additional, Mingo-Santos, Susana, additional, and Segovia-Cubero, Javier, additional

Published
2022
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10. Should We Expand Cardiac Response Criteria in Patients with Light Chain Cardiac Amyloidosis?

Author

López-Ibor, Jorge V., primary, Krsnik, Isabel, additional, Gómez-Bueno, Manuel, additional, Hernández-Pérez, Francisco J., additional, Durante-López, Alejandro, additional, Mingo Santos, Susana, additional, Moñivas Palomero, Vanessa, additional, García-Izquierdo, Eusebio, additional, Sayago, Inés, additional, Royuela, Ana, additional, and Segovia-Cubero, Javier, additional

Published
2021
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11. External validation and comparison of the CardShock and IABP-SHOCK II risk scores in real-world cardiogenic shock patients

Author

Rivas-Lasarte, Mercedes, primary, Sans-Roselló, Jordi, additional, Collado-Lledó, Elena, additional, González-Fernández, Víctor, additional, Noriega, Francisco J, additional, Hernández-Pérez, Francisco J, additional, Fernández-Martínez, Juan, additional, Ariza, Albert, additional, Lidón, Rosa-Maria, additional, Viana-Tejedor, Ana, additional, Segovia-Cubero, Javier, additional, Harjola, Veli-Pekka, additional, Lassus, Johan, additional, Thiele, Holger, additional, and Sionis, Alessandro, additional

Published
2020
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12. External validation and comparison of the CardShock and IABP-SHOCK II risk scores in real-world cardiogenic shock patients.

Author

Rivas-Lasarte, Mercedes, Sans-Roselló, Jordi, Collado-Lledó, Elena, González-Fernández, Víctor, Noriega, Francisco J., Hernández-Pérez, Francisco J., Fernández-Martínez, Juan, Ariza, Albert, Lidón, Rosa-Maria, Viana-Tejedor, Ana, Segovia-Cubero, Javier, Harjola, Veli-Pekka, Lassus, Johan, Thiele, Holger, and Sionis, Alessandro

Published
2021
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13. External validation and comparison of the CardShock and IABP-SHOCK II risk scores in real-world cardiogenic shock patients

Author

Rivas-Lasarte, Mercedes, Sans-Roselló, Jordi, Collado-Lledó, Elena, González-Fernández, Víctor, Noriega, Francisco J, Hernández-Pérez, Francisco J, Fernández-Martínez, Juan, Ariza, Albert, Lidón, Rosa-Maria, Viana-Tejedor, Ana, Segovia-Cubero, Javier, Harjola, Veli-Pekka, Lassus, Johan, Thiele, Holger, and Sionis, Alessandro

Abstract

Background: Mortality from cardiogenic shock remains high and early recognition and risk stratification are mandatory for optimal patient allocation and to guide treatment strategy. The CardShock and the Intra-Aortic Balloon Counterpulsation in Acute Myocardial Infarction Complicated by Cardiogenic Shock (IABP-SHOCK II) risk scores have shown good results in predicting short-term mortality in cardiogenic shock. However, to date, they have not been compared in a large cohort of ischaemic and non-ischaemic real-world cardiogenic shock patients.Methods: The Red-Shock is a multicentre cohort of non-selected cardiogenic shock patients. We calculated the CardShock and IABP-SHOCK II risk scores in each patient and assessed discrimination and calibration.Results: We included 696 patients. The main cause of cardiogenic shock was acute coronary syndrome, occurring in 62% of the patients. Compared with acute coronary syndrome patients, non-acute coronary syndrome patients were younger and had a lower proportion of risk factors but higher rates of renal insufficiency; intra-aortic balloon pump was also less frequently used (31% vs 56%). In contrast, non-acute coronary syndrome patients were more often treated with mechanical circulatory support devices (11% vs 3%, p<0.001 for both). Both risk scores were good predictors of in-hospital mortality in acute coronary syndrome patients and had similar areas under the receiver-operating characteristic curve (area under the curve: 0.742 for the CardShock vs 0.752 for IABP-SHOCK II, p=0.65). Their discrimination performance was only modest when applied to non-acute coronary syndrome patients (0.648 vs 0.619, respectively, p=0.31). Calibration was acceptable for both scores (Hosmer-Lemeshow p=0.22 for the CardShock and 0.68 for IABP-SHOCK II).Conclusions: In our cohort, both the CardShock and the IABP-SHOCK II risk scores were good predictors of in-hospital mortality in acute coronary syndrome-related cardiogenic shock.

Published
2024
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