Outcomes after intra-aortic balloon pump insertion in cardiac surgery patients

Samanidis, George; Georgiopoulos, Georgios; Bousounis, Stefanos; Zoumpourlis, Panagiotis

doi:10.5935/0103-507x.20200091

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…IAPB as a type of mechanical circulatory support, prophylactic IABP is currently used for providing circulatory assistance awaiting CABG to improve outcomes in high‐risk patients during perioperative period (Ding et al, 2015; Gajanan et al, 2021; Jannati, & Attar, 2019). Our finding was inconsistent with preoperative and intraoperative IABP insertion was not associated with the occurrence of POAF (Samanidis et al, 2020). Moreover, several studies have mainly reported the benefits of preoperative or prophylactic IABP (Dieberg et al, 2016; Ghurram et al, 2020; Head et al, 2017).…”

Section: Discussioncontrasting

confidence: 95%

Perioperative risk factors for new‐onset postoperative atrial fibrillation among patients after isolated coronary artery bypass grafting: A retrospective study

Choi

Seo

Choi

et al. 2021

Journal of Advanced Nursing

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Aims Incidence of atrial fibrillation is considerably high after open heart surgery, which may prolong hospitalization and increase mortality. The aim of the present study is to investigate the perioperative risk factors for the occurrence of new‐onset atrial fibrillation following isolated coronary artery bypass grafting. Design A retrospective study. Methods A total of 327 Korean patients recorded to have undergone first‐time isolated coronary artery bypass grafting and no preoperative history of atrial fibrillation were included. The data were obtained from electronic health record from January 2010 to December 2019 at a tertiary care hospital. Predictors of new‐onset atrial fibrillation after the surgery were identified by multivariate logistic regression analysis. Results The incidence rate of new‐onset atrial fibrillation after coronary artery bypass grafting was approximately 28.4%, and the highest occurrence rate was 44.1% on postoperative day 2. Our main finding showed that advanced age was the strongest predictor of atrial fibrillation after coronary artery bypass grafting. In addition, history of stroke and depression, chronic obstructive pulmonary disease and intraoperative use of intra‐aortic balloon pump were shown to be the risk factors. Conclusion Our findings showed that approximately 28% patients had new‐onset atrial fibrillation after the surgery. Healthcare professionals should proactively assess risk factors for postoperative atrial fibrillation and focus more on older adults with pre‐existing comorbidities, such as stroke, depression and chronic obstructive pulmonary disease. Impact Older adults with history of stroke, depression and comorbid chronic obstructive pulmonary disease should be carefully monitored closely during perioperative period. The study highlights that early assessment of new‐onset postoperative atrial fibrillation can contribute to promote the quality of nursing care and frontline nurses may be a vital role in timely detection of atrial fibrillation after surgery. Prospective studies are required to identify the mechanisms connecting perioperative risk factors for atrial fibrillation after cardiac surgery.

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Section: Discussioncontrasting

confidence: 95%

Perioperative risk factors for new‐onset postoperative atrial fibrillation among patients after isolated coronary artery bypass grafting: A retrospective study

Choi

Seo

Choi

et al. 2021

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…In the current study, peri-operative mortality in subjects with EF < 30% was 1.5%, significantly higher than in subjects with EF > 30%, and IABP significantly influenced this mortality rate. A previous study reported that IABP application was a significant predictor of death in patients undergoing cardiac surgery (Samanidis et al, 2021). Another study reported that the mortality rate in patients who required IABP application during cardiac surgery was 52.7%, and the early mortality rate in these patients was high (Liang et al, 2020).…”

Section: Discussionmentioning

confidence: 97%

The Effect of Intra-Aortic Balloon Pump in Patients With Low Ejection Fraction Undergoing Coronary Artery Bypass Grafting

KHAN¹,

ASHRAF

Roomi³

2023

Biol Clin Sci Res J

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This study aimed to assess risk factors that predict the length of stay and 30-day mortality in subjects undergoing CAGB to evaluate the impact of IABP support in patients with low ejection fraction. The prospective study was conducted in the Cardiology Department of Punjab Institute of Cardiology Lahore from January 2022 to January 2023. A total of 315 patients were included in the study. The sample was divided into a study group (n=110, having LVEF ≤ 30%) and a control group (n=205, having EF > 30%). Pre-operative and intraoperative data of the patients were recorded. Post-operative complications were recorded, including LOS in the hospital and 30-day mortality. Patients in the study group required more emergency CABG ( P = .005), and IABP was also used more frequently in patients having EF< 30% (P<.001). LOS in hospital (P<.001) and ICU (P<.001) and 30-day mortality (P=.009) were higher in the study group. According to multivariate logistic regression analysis, in the study group history of cerebrovascular disease ( P = .018), peripheral vascular disease ( P = .004), congestive heart failure ( P = .027), and IABP use ( P = .002) were associated with the rate of 30-day mortality. Moreover, the increased length of hospital stay in these patients was associated with an increase in age (P<.001), hypertension (P=.040), and IABP use (P=.009). Based on the results, it can be concluded that the low ejection fraction positively affects increased LOS and 30-day mortality in subjects undergoing CABG; IABP insertion is a significant predictor of increased LOS and 30-day mortality and increases post-operative complications.

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Outcomes after intra-aortic balloon pump insertion in cardiac surgery patients

Cited by 2 publications

References 16 publications

Perioperative risk factors for new‐onset postoperative atrial fibrillation among patients after isolated coronary artery bypass grafting: A retrospective study

Perioperative risk factors for new‐onset postoperative atrial fibrillation among patients after isolated coronary artery bypass grafting: A retrospective study

The Effect of Intra-Aortic Balloon Pump in Patients With Low Ejection Fraction Undergoing Coronary Artery Bypass Grafting

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