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Earlier Application of Percutaneous Cardiopulmonary Support Rescues Patients from Severe Cardiopulmonary Failure Using the APACHE III Scoring System

DC Field Value Language
dc.contributor.author송석원-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이삭-
dc.date.accessioned2015-04-24T17:12:33Z-
dc.date.available2015-04-24T17:12:33Z-
dc.date.issued2009-
dc.identifier.issn1011-8934-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/104960-
dc.description.abstractPercutaneous 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.statementOfResponsibilityopen-
dc.format.extent1064~1070-
dc.relation.isPartOfJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAPACHE*-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHCardiopulmonary Resuscitation*/methods-
dc.subject.MESHCardiopulmonary Resuscitation*/utilization-
dc.subject.MESHCatecholamines/therapeutic use-
dc.subject.MESHFemale-
dc.subject.MESHHeart Failure/mortality-
dc.subject.MESHHeart Failure/therapy*-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRegression Analysis-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSurvival Rate-
dc.subject.MESHTreatment Outcome-
dc.titleEarlier Application of Percutaneous Cardiopulmonary Support Rescues Patients from Severe Cardiopulmonary Failure Using the APACHE III Scoring System-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorSuk-Won Song-
dc.contributor.googleauthorHong-Suk Yang-
dc.contributor.googleauthorSak Lee-
dc.contributor.googleauthorYoung-Nam Youn-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.identifier.doi10.3346/jkms.2009.24.6.1064-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02028-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA02807-
dc.relation.journalcodeJ01517-
dc.identifier.eissn1598-6357-
dc.identifier.pmid19949661-
dc.subject.keywordExtracorporeal Membrane Oxygenation-
dc.subject.keywordOutcomes-
dc.contributor.alternativeNameSong, Suk Won-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameLee, Sak-
dc.contributor.affiliatedAuthorSong, Suk Won-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorLee, Sak-
dc.citation.volume24-
dc.citation.number6-
dc.citation.startPage1064-
dc.citation.endPage1070-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN MEDICAL SCIENCE, Vol.24(6) : 1064-1070, 2009-
dc.identifier.rimsid55106-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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