Risk factors affecting the prognosis of adult cardiogenic shock patients treated with extracnrporeal membrane oxygenation
10.3760/cma.j.issn.1671-0282.2012.05.016
- VernacularTitle:影响体外膜肺氧合救治成人心源性休克预后的因素分析
- Author:
Liusheng HOU
;
Gang XIE
;
Chonghui JIANG
;
Yong YUAN
;
Binfei LI
;
Weihua ZHENG
;
Ye NING
;
Shuangbiao ZHAO
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
Cardiogenic shock;
Risk factors;
Prognosis
- From:
Chinese Journal of Emergency Medicine
2012;21(5):510-513
- CountryChina
- Language:Chinese
-
Abstract:
Objective To find out risk factors affecting the prognosis of adult cardiogenic shock patients treated with extracorporeal membrane oxygenation.Methods From January 2003 to December 2010,patients with cardiogenic shock required veno-arterial ECMO after failure of conventional therapy and intra-aortic balloon pump counterpulsation therapy were retrospectively studied. Patients with severe traumatic brain injury,advanced malignancies and multiple organ failure were excluded.All patients were divided into survival group and death group.The risk factors were found out using one-way ANOVA and a multivariate logistic regression analysis was used to determine independent factors associated with survival.Results Thirty-one patients successfully weaned from ECMO. Twenty-two patients were successfully discharged.The average duration of ECMO was 41.56 ± 43.07 hours.Factors associated with failure of hospital discharge were age,pre-ECMO levels of ejection fraction,pre-ECMO levels of lactate,disseminated intravascular coagulation,renal failure and multiorgan failure (P ＜ 0.05). Conclusions Irreversible heart failure and the complications are significantly correlated with survival,and the early use of ECMO for cardiogenic shock and recognize the factors are key to the success of ECMO treatment.
