@article{JTD20632,
author = {Federico Pappalardo and Silvia Ajello and Massimiliano Greco and Małgorzata Celińska-Spodar and Michele De Bonis and Alberto Zangrillo and Andrea Montisci},
title = {Contemporary applications of intra-aortic balloon counterpulsation for cardiogenic shock: a “real world” experience},
journal = {Journal of Thoracic Disease},
volume = {10},
number = {4},
year = {2018},
keywords = {},
abstract = {Background: Intra-aortic balloon pump (IABP) had a pivotal role in the therapy of cardiogenic shock (CS), but recent studies have questioned its effects on patients’ outcome. Aim of this study is the description of a “real world” series of patients in which IABP was used as a primary mechanical circulatory support (MCS).
Methods: All patients who received IABP in our institution during 1 year were prospectively enrolled in our study. The outcomes were: ICU mortality, length of ICU stay, factors associated with mortality and complications of IABP. A logistic regression model was developed to estimate the effect of several risk factors on mortality.
Results: A total of 119 patients were enrolled, 54 patients underwent IABP placement for CS unrelated to cardiac surgery (medical CS) and 65 after open-heart surgery. There was no significant difference for mortality between medical CS [12/54 (22.2%)] and cardiac surgery [7/65 (10.8%)] (P=0.09). The morbidity rate related to IABP was 11.3%. Multivariable analysis identified AKI (OR =9.3; 95% CI, 2.0–40.0; P=0.004), inotropic score at the time of IABP implantation (OR =1.06; 95% CI, 1.01–1.11; P=0.009) and history of myocardial revascularization (OR =4.7; 95% CI, 1.1–20.2; P=0.036) as independent predictors for early death (P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/20632}
}