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Predictors of in-hospital mortality after successful weaning of venoarterial extracorporeal membrane oxygenation in cardiogenic shock
DC Field | Value | Language |
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dc.contributor.author | 안철민 | - |
dc.date.accessioned | 2024-05-30T06:50:43Z | - |
dc.date.available | 2024-05-30T06:50:43Z | - |
dc.date.issued | 2023-10 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/199375 | - |
dc.description.abstract | Limited knowledge exists regarding the predictors of mortality after successful weaning of venoarterial extracorporeal membrane oxygenation (ECMO). We aimed to identify predictors of in-hospital mortality in patients with cardiogenic shock (CS) after successful weaning from ECMO. Data were obtained from a multicenter registry of CS. Successful ECMO weaning was defined as survival with minimal mean arterial pressure (> 65 mmHg) for > 24 h after ECMO removal. The primary outcome was in-hospital mortality after successful ECMO weaning. Among 1247 patients with CS, 485 received ECMO, and 262 were successfully weaned from ECMO. In-hospital mortality occurred in 48 patients (18.3%). Survivors at discharge differed significantly from non-survivors in age, cardiovascular comorbidities, cause of CS, left ventricular ejection fraction, and use of adjunctive therapy. Five independent predictors for in-hospital mortality were identified: use of continuous renal replacement therapy (odds ratio 5.429, 95% confidence interval [CI] 2.468-11.940; p < 0.001), use of intra-aortic balloon pump (3.204, 1.105-9.287; p = 0.032), diabetes mellitus (3.152, 1.414-7.023; p = 0.005), age (1.050, 1.016-1.084; p = 0.003), and left ventricular ejection fraction after ECMO insertion (0.957, 0.927-0.987; p = 0.006). Even after successful weaning of ECMO, patients with irreversible risk factors should be recognized, and careful monitoring should be done for sign of deconditioning. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Nature Publishing Group | - |
dc.relation.isPartOf | SCIENTIFIC REPORTS | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Extracorporeal Membrane Oxygenation* / adverse effects | - |
dc.subject.MESH | Hospital Mortality | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Shock, Cardiogenic* / etiology | - |
dc.subject.MESH | Stroke Volume | - |
dc.subject.MESH | Ventilator Weaning / adverse effects | - |
dc.subject.MESH | Ventricular Function, Left | - |
dc.title | Predictors of in-hospital mortality after successful weaning of venoarterial extracorporeal membrane oxygenation in cardiogenic shock | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Joo Hee Jeong | - |
dc.contributor.googleauthor | Hyungdon Kook | - |
dc.contributor.googleauthor | Seung Hun Lee | - |
dc.contributor.googleauthor | Hyung Joon Joo | - |
dc.contributor.googleauthor | Jae Hyoung Park | - |
dc.contributor.googleauthor | Soon Jun Hong | - |
dc.contributor.googleauthor | Mi-Na Kim | - |
dc.contributor.googleauthor | Seong-Mi Park | - |
dc.contributor.googleauthor | Jae Seung Jung | - |
dc.contributor.googleauthor | Jeong Hoon Yang | - |
dc.contributor.googleauthor | Hyeon-Cheol Gwon | - |
dc.contributor.googleauthor | Chul-Min Ahn | - |
dc.contributor.googleauthor | Woo Jin Jang | - |
dc.contributor.googleauthor | Hyun-Joong Kim | - |
dc.contributor.googleauthor | Jang-Whan Bae | - |
dc.contributor.googleauthor | Sung Uk Kwon | - |
dc.contributor.googleauthor | Wang Soo Lee | - |
dc.contributor.googleauthor | Jin-Ok Jeong | - |
dc.contributor.googleauthor | Sang-Don Park | - |
dc.contributor.googleauthor | Seong-Hoon Lim | - |
dc.contributor.googleauthor | Cheol Woong Yu | - |
dc.identifier.doi | 10.1038/s41598-023-44679-2 | - |
dc.contributor.localId | A02269 | - |
dc.relation.journalcode | J02646 | - |
dc.identifier.eissn | 2045-2322 | - |
dc.identifier.pmid | 37845266 | - |
dc.contributor.alternativeName | Ahn, Chul-Min | - |
dc.contributor.affiliatedAuthor | 안철민 | - |
dc.citation.volume | 13 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 17529 | - |
dc.identifier.bibliographicCitation | SCIENTIFIC REPORTS, Vol.13(1) : 17529, 2023-10 | - |
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