Cited 4 times in
Earlier Application of Percutaneous Cardiopulmonary Support Rescues Patients from Severe Cardiopulmonary Failure Using the APACHE III Scoring System
DC Field | Value | Language |
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dc.contributor.author | 송석원 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이삭 | - |
dc.date.accessioned | 2015-04-24T17:12:33Z | - |
dc.date.available | 2015-04-24T17:12:33Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/104960 | - |
dc.description.abstract | Percutaneous cardiopulmonary support (PCPS) is a widely accepted treatment for severe cardiopulmonary failure. This system, which uses a percutaneous approach and autopriming devices, can be rapidly applied in emergency situations. We sought to identify the risk factors that could help predict in-hospital mortality, and to assess its outcomes in survivors. During a 2-yr period, 50 patients underwent PCPS for the treatment of severe cardiopulmonary failure, and of those, 22 (44%) were classified as survivors and 28 (56%) as non-survivors. We compared the 2 groups for risk factors of in-hospital mortality and to establish proper PCPS timing. Twenty patients underwent PCPS for acute myocardial infarction, 20 for severe cardiopulmonary failure after cardiac surgery, 7 for acute respiratory distress syndrome, and 3 for acute myocarditis. Multivariate analysis showed that an acute physiology, age, and chronic health evaluation (APACHE) III score > or =50 prior to PCPS was the only significant predictor of in-hospital mortality (P=0.001). Overall 18-month survival was 42.2%. Cox analysis showed patients with APACHE III scores > or =50 had a poor prognosis (P=0.001). Earlier application of PCPS, and other preemptive strategies designed to optimize high-risk patients, may improve patient outcomes. Identifying patients with high APACHE scores at the beginning of PCPS may predict in-hospital mortality. Survivors, particularly those with higher APACHE scores, may require more frequent follow-up to improve overall survival | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1064~1070 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | APACHE* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Cardiopulmonary Resuscitation*/methods | - |
dc.subject.MESH | Cardiopulmonary Resuscitation*/utilization | - |
dc.subject.MESH | Catecholamines/therapeutic use | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Heart Failure/mortality | - |
dc.subject.MESH | Heart Failure/therapy* | - |
dc.subject.MESH | Hospital Mortality | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Regression Analysis | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Survival Rate | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Earlier Application of Percutaneous Cardiopulmonary Support Rescues Patients from Severe Cardiopulmonary Failure Using the APACHE III Scoring System | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery (흉부외과학) | - |
dc.contributor.googleauthor | Suk-Won Song | - |
dc.contributor.googleauthor | Hong-Suk Yang | - |
dc.contributor.googleauthor | Sak Lee | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.identifier.doi | 10.3346/jkms.2009.24.6.1064 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02028 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02807 | - |
dc.relation.journalcode | J01517 | - |
dc.identifier.eissn | 1598-6357 | - |
dc.identifier.pmid | 19949661 | - |
dc.subject.keyword | Extracorporeal Membrane Oxygenation | - |
dc.subject.keyword | Outcomes | - |
dc.contributor.alternativeName | Song, Suk Won | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.alternativeName | Lee, Sak | - |
dc.contributor.affiliatedAuthor | Song, Suk Won | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Lee, Sak | - |
dc.citation.volume | 24 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1064 | - |
dc.citation.endPage | 1070 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.24(6) : 1064-1070, 2009 | - |
dc.identifier.rimsid | 55106 | - |
dc.type.rims | ART | - |
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