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Gender-related propensity score match analysis of ECMO therapy in postcardiotomy cardiogenic shock in patients after myocardial revascularization.
- Source :
-
Perfusion . Jul2022, Vol. 37 Issue 5, p470-476. 7p. - Publication Year :
- 2022
-
Abstract
- Background: Gender is known to influence the pathophysiology and pathogenesis of the coronary vascular disease. Data on gender-related differences in patients with veno-arterial extracorporeal membrane oxygenation due to postcardiotomy cardiogenic shock is lacking in current literature. We aimed to analyze the impact of gender on intraoperative and short-term outcomes of vaECMO patients after coronary surgery and postcardiotomy cardiogenic shock. Methods: Between 2006 and 2017, a total of 92 patients with PCS after CABG underwent vaECMO-implantation at our institution. After a 1:1 propensity score match (PSM) for relevant preoperative data, we identified a cohort of 32 patients, 16 males, and 16 females. Periprocedural and short-term outcome data were analyzed with respect to sex differences. Results: The mean age was 64 ± 11 years, and 79% (n = 73) were male patients. Clinical outcomes showed a 30-day all-cause mortality of 64% (n = 59). After PSM, male patients showed a significantly smaller number of arterial grafts (0.4 ± 0.53 male vs 1.1 ± 0.7 female; p = 0.037). Thirty-day all-cause mortality did not differ between the groups (56% male vs 75% female; p = 0.262). In general, short-term outcome data were comparable without significant differences for the matched groups. Conclusion: Gender has no impact on patients with vaECMO therapy due to PCS in isolated coronary surgery. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INTRA-aortic balloon counterpulsation
*LENGTH of stay in hospitals
*CORONARY artery bypass
*MORTALITY
*EXTRACORPOREAL membrane oxygenation
*CARDIOVASCULAR diseases
*MANN Whitney U Test
*FISHER exact test
*SEX distribution
*COMPARATIVE studies
*CARDIOGENIC shock
*MYOCARDIAL revascularization
*DESCRIPTIVE statistics
*CHI-squared test
*DATA analysis software
*LONGITUDINAL method
*PROBABILITY theory
Subjects
Details
- Language :
- English
- ISSN :
- 02676591
- Volume :
- 37
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Perfusion
- Publication Type :
- Academic Journal
- Accession number :
- 157565349
- Full Text :
- https://doi.org/10.1177/02676591211004363