Evidence map›Paper›PMID 35317396›Full record

ArticleJournal of geriatric cardiology : JGC2022

Usefulness of Impella support in different clinical settings in cardiogenic shock.

María Isabel Barrionuevo-Sánchez, Albert Ariza-Solé, Daniel Ortiz-Berbel, José González-Costello, Joan Antoni Gómez-Hospital, Victòria Lorente, Oriol Alegre, Isaac Llaó, José Carlos Sánchez-Salado, Josep Gómez-Lara and 2 more

Abstract read
In one paragraph

Article in Journal of geriatric cardiology : JGC, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Review
  8. Article
  9. Article
  10. Review
  11. Cardiogenic shock: approaching the truth.Journal of geriatric cardiology : JGC · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

María Isabel Barrionuevo-SánchezCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Albert Ariza-SoléCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Daniel Ortiz-BerbelCardiac Surgery Department, Heart Disease Institute, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
José González-CostelloCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Joan Antoni Gómez-HospitalCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Victòria LorenteCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Oriol AlegreCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Isaac LlaóCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
José Carlos Sánchez-SaladoCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Josep Gómez-LaraCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Arnau Blasco-LucasCardiac Surgery Department, Heart Disease Institute, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.
Josep Comin-ColetCardiology Department, Intensive Cardiac Care Unit, Bellvitge University Hospital, L' Hospitalet de Llobregat, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Impella pump has emerged as a promising tool in patients with cardiogenic shock (CS). Despite its attractive properties, there are scarce data on the specific clinical setting and the potential role of Impella devices in CS patients from routine clinical practice.

methodsThis is an observational, retrospective, single center, cohort study. All consecutive patients with diagnosis of CS and undergoing support with Impella 2.5

resultsA total of 50 patients were included (median age: 59.3 ± 10 years). The most common cause of CS was acute coronary syndrome (ACS) (68%), followed by decompensation of previous cardiomyopathy (22%). A total of 13 patients (26%) had profound CS. Most patients (54%) improved pulmonary congestion at 48 h after Impella support. A total of 19 patients (38%) presented significant bleeding. In-hospital mortality was 42%. Among patients with profound CS (

conclusionsIn this cohort of real-life CS patients, Impella devices were used in different settings, with different clinical profiles and management. Despite a significant rate of complications, mortality was acceptable and lower than those observed in other series.

Identifiers

PMID35317396
PMCPMC8915417

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.