作者
Hyeok-Hee Lee, Hyeon Chang Kim, Chul-Min Ahn, Seung-Jun Lee, Sung-Jin Hong, Jeong Hoon Yang, Jung-Sun Kim, Byeong-Keuk Kim, Young-Guk Ko, Donghoon Choi, Hyeon-Cheol Gwon, Myeong-Ki Hong, Yangsoo Jang
发表日期
2021/5/24
期刊
JACC: Cardiovascular Interventions
卷号
14
期号
10
页码范围
1109-1119
出版商
American College of Cardiology Foundation
简介
Objectives
The aim of this study was to investigate whether earlier extracorporeal membrane oxygenation (ECMO) support is associated with improved clinical outcomes in patients with refractory cardiogenic shock (CS).
Background
The prognosis of patients with refractory CS receiving ECMO remains poor. However, little is known about the association between the timing of ECMO implantation and clinical outcomes in these patients.
Methods
From a multicenter registry, 362 patients with refractory CS who underwent ECMO between January 2014 and December 2018 were identified. Participants were classified into 3 groups according to tertiles of shock-to-ECMO time (early, intermediate, and late ECMO). Inverse probability of treatment weighting was conducted to adjust for baseline differences among the groups, followed by a weighted Cox proportional hazards regression analysis to calculate hazard ratios …
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