Future cardiology · 2018
Clinical characteristics and survival in cardiogenic shock admissions to a UK heart transplant unit.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Chaggar Parminder S, McKay Ewan J, Foden Philip, Williams Simon G, Barnard Jim, Yonan Nizar, Venkateswaran Rajamiyer, Shaw Steven M
Аннотация
AIM: We describe the characteristics and outcomes of cardiogenic shock (CS) admissions to a UK transplant unit, which is previously unreported.
PATIENTS & METHODS: Fifty-nine unselected, consecutive patients over a 38-month period in CS (INTERMACS ≤2) and potentially eligible for transplant were retrospectively reviewed.
RESULTS: Patients were predominantly male (76.3%), young (mean age 42.2 years) and with severe end-organ dysfunction (acute liver/kidney injury 83%, mean lactate 3.5 mmol/l). 57.6% required mechanical support and 28.8% cardiac transplant. 30 days, discharge and 1-year survival were 78, 68 and 63%, respectively. Predictors of death included no transplant, increasing age and increasing creatinine.
CONCLUSION: Patients with CS and potential for transplant require significant resource input but demonstrate favorable outcomes in our experience.
PATIENTS & METHODS: Fifty-nine unselected, consecutive patients over a 38-month period in CS (INTERMACS ≤2) and potentially eligible for transplant were retrospectively reviewed.
RESULTS: Patients were predominantly male (76.3%), young (mean age 42.2 years) and with severe end-organ dysfunction (acute liver/kidney injury 83%, mean lactate 3.5 mmol/l). 57.6% required mechanical support and 28.8% cardiac transplant. 30 days, discharge and 1-year survival were 78, 68 and 63%, respectively. Predictors of death included no transplant, increasing age and increasing creatinine.
CONCLUSION: Patients with CS and potential for transplant require significant resource input but demonstrate favorable outcomes in our experience.
Предметные рубрики MeSH
AdultAgedCause of DeathCohort StudiesCritical IllnessExtracorporeal Membrane OxygenationFemaleFollow-Up StudiesHeart TransplantationHeart-Assist DevicesHospital MortalityHumansIntra-Aortic Balloon PumpingMaleMiddle AgedMultivariate AnalysisPatient AdmissionPatient SelectionProportional Hazards ModelsRetrospective StudiesShock, CardiogenicSurvival AnalysisUnited Kingdom