Features and outcomes of female and male patients requiring postcardiotomy extracorporeal life support
Issued Date
2024-01-01
Resource Type
ISSN
00225223
eISSN
1097685X
Scopus ID
2-s2.0-85196638421
Pubmed ID
38762034
Journal Title
Journal of Thoracic and Cardiovascular Surgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Thoracic and Cardiovascular Surgery (2024)
Suggested Citation
Mariani S., Ravaux J.M., van Bussel B.C.T., De Piero M.E., van Kruijk S.M.J., Schaefer A.K., Wiedemann D., Saeed D., Pozzi M., Loforte A., Boeken U., Samalavicius R., Bounader K., Hou X., Bunge J.J.H., Buscher H., Salazar L., Meyns B., Mazzeffi M.A., Matteucci S., Sponga S., Sorokin V., Russo C., Formica F., Sakiyalak P., Fiore A., Camboni D., Raffa G.M., Diaz R., Wang I.w., Jung J.S., Belohlavek J., Pellegrino V., Bianchi G., Pettinari M., Barbone A., Garcia J.P., Shekar K., Whitman G.J.R., Lorusso R., Heuts S., Conci L., Szalkiewicz P., Lehmann S., Khalil J., Obadia J.F., Kalampokas N., Jankuviene A., Flecher E., Reis Miranda D.D., Sriranjan K., Herr D., Vedadi N., Di Eusanio M., MacLaren G., Ramanathan K., Costetti A., Schmid C., Castillo R., Grus T., Mikulenka V., Solinas M. Features and outcomes of female and male patients requiring postcardiotomy extracorporeal life support. Journal of Thoracic and Cardiovascular Surgery (2024). doi:10.1016/j.jtcvs.2024.04.033 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/99191
Title
Features and outcomes of female and male patients requiring postcardiotomy extracorporeal life support
Author(s)
Mariani S.
Ravaux J.M.
van Bussel B.C.T.
De Piero M.E.
van Kruijk S.M.J.
Schaefer A.K.
Wiedemann D.
Saeed D.
Pozzi M.
Loforte A.
Boeken U.
Samalavicius R.
Bounader K.
Hou X.
Bunge J.J.H.
Buscher H.
Salazar L.
Meyns B.
Mazzeffi M.A.
Matteucci S.
Sponga S.
Sorokin V.
Russo C.
Formica F.
Sakiyalak P.
Fiore A.
Camboni D.
Raffa G.M.
Diaz R.
Wang I.w.
Jung J.S.
Belohlavek J.
Pellegrino V.
Bianchi G.
Pettinari M.
Barbone A.
Garcia J.P.
Shekar K.
Whitman G.J.R.
Lorusso R.
Heuts S.
Conci L.
Szalkiewicz P.
Lehmann S.
Khalil J.
Obadia J.F.
Kalampokas N.
Jankuviene A.
Flecher E.
Reis Miranda D.D.
Sriranjan K.
Herr D.
Vedadi N.
Di Eusanio M.
MacLaren G.
Ramanathan K.
Costetti A.
Schmid C.
Castillo R.
Grus T.
Mikulenka V.
Solinas M.
Ravaux J.M.
van Bussel B.C.T.
De Piero M.E.
van Kruijk S.M.J.
Schaefer A.K.
Wiedemann D.
Saeed D.
Pozzi M.
Loforte A.
Boeken U.
Samalavicius R.
Bounader K.
Hou X.
Bunge J.J.H.
Buscher H.
Salazar L.
Meyns B.
Mazzeffi M.A.
Matteucci S.
Sponga S.
Sorokin V.
Russo C.
Formica F.
Sakiyalak P.
Fiore A.
Camboni D.
Raffa G.M.
Diaz R.
Wang I.w.
Jung J.S.
Belohlavek J.
Pellegrino V.
Bianchi G.
Pettinari M.
Barbone A.
Garcia J.P.
Shekar K.
Whitman G.J.R.
Lorusso R.
Heuts S.
Conci L.
Szalkiewicz P.
Lehmann S.
Khalil J.
Obadia J.F.
Kalampokas N.
Jankuviene A.
Flecher E.
Reis Miranda D.D.
Sriranjan K.
Herr D.
Vedadi N.
Di Eusanio M.
MacLaren G.
Ramanathan K.
Costetti A.
Schmid C.
Castillo R.
Grus T.
Mikulenka V.
Solinas M.
Author's Affiliation
Korea University Anam Hospital
Siriraj Hospital
Departement Cardiovasculaire Wetenschappen
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
National University Health System
Heinrich-Heine-Universität Düsseldorf Medizinische Fakultät
Azienda Ospedaliera Universitaria Ospedali Riuniti, Ancona
Fundación Cardiovascular de Colombia
Beijing Anzhen Hospital, Capital Medical University
CARIM School for Cardiovascular Disease
Ziekenhuis Oost-Limburg
Vilniaus Universitetas
Erasmus MC
KU Leuven– University Hospital Leuven
UNSW Sydney
Hôpital Pontchaillou
St. Vincent's Hospital Sydney
Humanitas Research Hospital
Indiana University-Purdue University Indianapolis
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Hôpital Henri Mondor
Herzzentrum Leipzig
Klinikum der Universität Regensburg und Medizinische Fakultät
Clínica Las Condes
Charles University
Asst Grande Ospedale Metropolitano Niguarda
Policlinico Universitario, Udine
University of Maryland, Baltimore (UMB)
Università degli Studi di Torino
Medizinische Universität Wien
The Alfred
Maastricht Universitair Medisch Centrum+
Azienda Ospedaliero-Universitaria di Parma
Memorial Healthcare System
The Prince Charles Hospital
Johns Hopkins University School of Medicine
Ospedale del Cuore Fondazione Toscana “G. Monasterio,”
IRCCS San Gerardo
Louis Pradel Cardiologic Hospital
Siriraj Hospital
Departement Cardiovasculaire Wetenschappen
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
National University Health System
Heinrich-Heine-Universität Düsseldorf Medizinische Fakultät
Azienda Ospedaliera Universitaria Ospedali Riuniti, Ancona
Fundación Cardiovascular de Colombia
Beijing Anzhen Hospital, Capital Medical University
CARIM School for Cardiovascular Disease
Ziekenhuis Oost-Limburg
Vilniaus Universitetas
Erasmus MC
KU Leuven– University Hospital Leuven
UNSW Sydney
Hôpital Pontchaillou
St. Vincent's Hospital Sydney
Humanitas Research Hospital
Indiana University-Purdue University Indianapolis
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Hôpital Henri Mondor
Herzzentrum Leipzig
Klinikum der Universität Regensburg und Medizinische Fakultät
Clínica Las Condes
Charles University
Asst Grande Ospedale Metropolitano Niguarda
Policlinico Universitario, Udine
University of Maryland, Baltimore (UMB)
Università degli Studi di Torino
Medizinische Universität Wien
The Alfred
Maastricht Universitair Medisch Centrum+
Azienda Ospedaliero-Universitaria di Parma
Memorial Healthcare System
The Prince Charles Hospital
Johns Hopkins University School of Medicine
Ospedale del Cuore Fondazione Toscana “G. Monasterio,”
IRCCS San Gerardo
Louis Pradel Cardiologic Hospital
Corresponding Author(s)
Other Contributor(s)
Abstract
Objectives: Although cardiogenic shock requiring extracorporeal life support after cardiac surgery is associated with high mortality, the impact of sex on outcomes of postcardiotomy extracorporeal life support remains unclear with conflicting results in the literature. We compare patient characteristics, in-hospital outcomes, and overall survival between females and males requiring postcardiotomy extracorporeal life support. Methods: This retrospective, multicenter (34 centers), observational study included adults requiring postcardiotomy extracorporeal life support between 2000 and 2020. Preoperative, procedural, and extracorporeal life support characteristics, complications, and survival were compared between females and males. Association between sex and in-hospital survival was investigated through mixed Cox proportional hazard models. Results: This analysis included 1823 patients (female: 40.8%; median age: 66.0 years [interquartile range, 56.2-73.0 years]). Females underwent more mitral valve surgery (females: 38.4%, males: 33.1%, P = .019) and tricuspid valve surgery (feamales: 18%, males: 12.4%, P < .001), whereas males underwent more coronary artery surgery (females: 45.9%, males: 52.4%, P = .007). Extracorporeal life support implantation was more common intraoperatively in feamales (females: 64.1%, females: 59.1%) and postoperatively in males (females: 35.9%, males: 40.9%, P = .036). Ventricular unloading (females: 25.1%, males: 36.2%, P < .001) and intra-aortic balloon pumps (females: 25.8%, males: 36.8%, P < .001) were most frequently used in males. Females had more postoperative right ventricular failure (females: 24.1%, males: 19.1%, P = .016) and limb ischemia (females: 12.3%, males: 8.8%, P = .23). In-hospital mortality was 64.9% in females and 61.9% in males (P = .199) with no differences in 5-year survival (females: 20%, 95% CI, 17-23; males: 24%, 95% CI, 21-28; P = .069). Crude hazard ratio for in-hospital mortality in females was 1.12 (95% CI, 0.99-1.27; P = .069) and did not change after adjustments. Conclusions: This study demonstrates that female and male patients requiring postcardiotomy extracorporeal life support have different preoperative and extracorporeal life support characteristics, as well as complications, without a statistical difference in in-hospital and 5-year survivals.