Survival of patients treated with intra-aortic balloon counterpulsation at a tertiary care center in Pakistan – patient characteristics and predictors of in-hospital mortality

Jafary, Fahim H.; Khan, Sohail Abraar; Kumar, Hitesh; Malik, Numaan; Kazmi, Khawar; Dhakam, Sajid; Shafquat, Azam; Hameed, Aamir; Tai, Javed; Nadeem, Najaf

doi:10.1186/1471-2261-4-22

Cited by 4 publications

(1 citation statement)

References 11 publications

(10 reference statements)

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“…Other interventions that have been performed for patients with limited options included IABP for patients with refractory angina or cardiogenic shock. [ 40 41 ] Cardiac shock wave therapy (CSWT) application to the ischemic myocardium in patients with refractory angina pectoris was found to improve symptoms and reduce the severity of ischemic areas at 6 months after CSWT treatment compared with the baseline. [ 42 ]…”

Section: Resultsmentioning

confidence: 99%

Acute care for the three leading causes of mortality in lower-middle-income countries: A systematic review

Dahn¹,

Wijesekera²,

Garcia³

et al. 2018

Int J Crit Illn Inj Sci

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Section: Resultsmentioning

confidence: 99%

Acute care for the three leading causes of mortality in lower-middle-income countries: A systematic review

Dahn¹,

Wijesekera²,

Garcia³

et al. 2018

Int J Crit Illn Inj Sci

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Effect of peri-operative intra-aortic balloon pump in patients undergoing coronary artery bypass grafting on outcomes in a resource limited setting

Sohail,

Samejo,

Bajwa

et al. 2023

Perfusion

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Introduction Intra-aortic balloon pump (IABP) insertion for diminished myocardial function is standard of care in cardiac surgery. Previous studies have suggested a possible benefit to IABP support before surgery with regards to outcomes and complications. However, there are conflicts with other studies suggesting no significant benefit. Optimal time of insertion, whether preoperative or perioperative (intra-operative and post-operative), has yet to be defined. Methodology A retrospective, hospital records-based chart review was conducted for patients admitted to our center from January 2015 to December 2019 for coronary bypass surgery necessitating IABP insertion. Cases were stratified according to the timing of insertion and analyzed according to surgical outcomes and complication rates. Results Out of 97 patients, 84.5% underwent preoperative IABP insertion while 15.5% of patients received perioperative (Intra-operative or post-operative) insertion. In-hospital mortality was significantly higher in patients with perioperative IABP insertion as compared to the preoperative group (60% vs 20.7%, p = 0.003). However, there were no significant differences between 30-day readmission rates in the two groups (9.8% vs 6.7%, p = 1.000). Length of stay was also higher in patients with preoperative insertion of IABP ( p = 0.032), with no significant difference in ICU stay ( p = 0.107). Perioperative IABP patients had higher rates of arrhythmias (46.7%, p = 0.042) and reopening of patient (33.3%, p = 0.028). Conclusion Our study shows improved mortality in patients with preoperatively inserted IABP. This may be beneficial for high-risk patients undergoing CABG surgery. Expanding the use of IABP before CABG in third world countries such as Pakistan may improve overall survival for patients.

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Trends in intra-aortic balloon counterpulsation: Comparison of a 669 record Australian dataset with the multinational Benchmark Counterpulsation Outcomes Registry

Lewis

Mullany

Townsend

et al. 2007

Anaesth Intensive Care

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The aim of this study was to review and describe indications for intraaortic balloon counterpulsation (IABP) use and identify the impact these have on outcomes at an Australian cardiothoracic tertiary referral hospital. A secondary aim was comparison of the Australian practice with a large multinational IABP data registry. Patient demographics, IABP indication, IABP complication rate and mortality in 662 patients treated with IABP at The Prince Charles Hospital (TPCH), Brisbane, between January 1994 and December 2004 inclusive were compared with The Benchmark Counterpulsation Outcomes Registry. Data were collected between 1994 and 2000 by retrospective patient record review and prospectively using the Benchmark database from 2001 to 2004. Statistical analysis was undertaken usingSAS (v8.2) software. The mean age of patients managed with IABP at TPCH (71.6% male) was 63.4 years (SD 12.4). In-hospital mortality rate was 22% and the complication rate was 10.3%. TPCH indications for IABP were: weaning from cardiopulmonary bypass (34.2%); cardiogenic shock (24.4%); preoperative support (13%); catheter laboratory support (10.6%); refractory ventricular failure (7.3%); ischaemia related to intractable ventricular arrhythmias (4.5%); unstable refractory angina (4%); mechanical complications due to acute myocardial infarction (1.2%) and other (0.4%) (0.4% not reported). In comparison to Benchmark, IABP at TPCH demonstrated a prejudice toward intraoperative use (34.2% versus 16.6%; P= <0.0001) and an aversion to catheter laboratory support (10.6% versus 19%; P= <0.0001). TPCH and Benchmark IABP outcomes demonstrated comparable mortality (22% versus 20.8%; P=ns) but increased TPCH complications (10.3% vs. 6.2%; P= <0.0001) owing to a 2% difference in observed insertion site bleeding.

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Survival of patients treated with intra-aortic balloon counterpulsation at a tertiary care center in Pakistan – patient characteristics and predictors of in-hospital mortality

Cited by 4 publications

References 11 publications

Acute care for the three leading causes of mortality in lower-middle-income countries: A systematic review

Acute care for the three leading causes of mortality in lower-middle-income countries: A systematic review

Effect of peri-operative intra-aortic balloon pump in patients undergoing coronary artery bypass grafting on outcomes in a resource limited setting

Trends in intra-aortic balloon counterpulsation: Comparison of a 669 record Australian dataset with the multinational Benchmark Counterpulsation Outcomes Registry

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