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10.21037/jtd.2018.04.20 http://scihub22266oqcxt.onion/10.21037/jtd.2018.04.20 C5949499!5949499!29850116     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Thorac+Dis 2018 ; 10 (4): 2125-34 Nephropedia Template TP {{tp|p=29850116|t=2018. Contemporary applications of intra-aortic balloon counterpulsation for cardiogenic shock: a ?real world? experience |pdf=|usr=}}{{29850116}} gab.com Text Contemporary applications of intra-aortic balloon counterpulsation for cardiogenic shock: a real world experience JO: J Thorac Dis http://www.kidney.de/pget.php?&tw=1&pmid=29850116 #FOAvip 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<0.05). A ROC curve analysis for inotropic score at time of implantation and mortality was performed in the overall population [AUC=0.78 (95% CI, 0.66?0.90)]. A cutoff of 20 has a specificity =72% and sensitivity=74% in this population. Conclusions: Mortality is similar in medical and postcardiotomy CS. The benefits of IABP are limited if the amount of inotropes and the severity of shock are too high. Twit Text FOAVip Contemporary applications of intra-aortic balloon counterpulsation for cardiogenic shock: a real world experience ????J Thorac Dis http://www.kidney.de/pget.php?&tw=1&pmid=29850116 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29850116 #FOAvip English Wikipedia <ref>{{Cite pmid|29850116}}</ref> Contemporary applications of intra-aortic balloon counterpulsation for cardiogenic shock: a ?real world? experience #MMPMID29850116 Pappalardo F; Ajello S; Greco M; Celi?ska-Spodar M; De Bonis M; Zangrillo A; Montisci A J Thorac Dis 2018[Apr]; 10 (4): 2125-34 PMID29850116show ga 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<0.05). A ROC curve analysis for inotropic score at time of implantation and mortality was performed in the overall population [AUC=0.78 (95% CI, 0.66?0.90)]. A cutoff of 20 has a specificity =72% and sensitivity=74% in this population. Conclusions: Mortality is similar in medical and postcardiotomy CS. The benefits of IABP are limited if the amount of inotropes and the severity of shock are too high. äContemporary applications of intra-aortic balloon counterpulsation for(epmc).pdf DeepDyve Pubget Overpricing