A risk score to predict 30-day mortality in patients with intra-aortic balloon pump implantation.
BACKGROUND
Several risk factors for early mortality after intra-aortic balloon pump (IABP) implantation have been described.


METHODS
We performed a retrospective analysis in 120 patients receiving peri- or postoperative IABP support. Univariate and multivariate analyses were carried out to assess variables potentially influencing 30-day mortality in order to develop a risk score for the prognosis of survival and for the decision on optimal patient-specific treatment.


RESULTS
The 4 parameters (mean arterial pressure, adrenaline dose, central venous pressure, and blood lactate concentrations) at 6 hours of IABP use were independently related to 30-day mortality. They were used to develop a risk score (0 - 4 points). With this score, patients who scored 3 or 4 points had no probability of surviving, whereas patients with a score of zero had a probability of 84.4 %. A prospectively screened cohort of 145 patients confirmed the reliability of our risk score.


CONCLUSIONS
Our data demonstrate that a score can predict 30-day mortality in patients with IABP implantation. Such a score can be useful to find out whether or not ECMO/VAD implantation is necessary.
Saeed
D
D
Department of Cardiothoracic Surgery, Heart Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany.
El-Banayosy
A
A
Zittermann
A
A
Fritzsche
D
D
Mirow
N
N
Morshuis
M
M
Koerfer
R
R
D000368:Aged; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000401:mortality*; D008297:Male; D015999:Multivariate Analysis; D019990:Perioperative Care; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D016016:Proportional Hazards Models; D011446:Prospective Studies; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate; D019616:Thoracic Surgical Procedures / Q000401:mortality*