Evidence map›Paper›PMID 38915058›Full record

ArticleJournal of cardiothoracic surgery2024

Is preoperative IABP insertion significantly reducing postoperative complication in augmented high-risk coronary artery bypass grafting patients?

Faizus Sazzad, Hai Dong Luo, Guohao Chang, Duoduo Wu, Zhi Xian Ong, Theo Kofidis, Giap Swee Kang

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Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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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

7 authors.

Faizus SazzadDepartment of Surgery, Centre for Translational Medicine, National University of Singapore, MD6, 14 Medical Drive, Singapore, 117599, Singapore. surmfs@nus.edu.sg.
Hai Dong LuoDepartment of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
Guohao ChangDepartment of Cardiac, Thoracic and Vascular Surgery, National University Heart Centre, Singapore, Singapore.
Duoduo WuDepartment of Surgery, Centre for Translational Medicine, National University of Singapore, MD6, 14 Medical Drive, Singapore, 117599, Singapore.
Zhi Xian OngDepartment of Surgery, Centre for Translational Medicine, National University of Singapore, MD6, 14 Medical Drive, Singapore, 117599, Singapore.
Theo KofidisDepartment of Surgery, Centre for Translational Medicine, National University of Singapore, MD6, 14 Medical Drive, Singapore, 117599, Singapore.
Giap Swee KangDepartment of Surgery, Centre for Translational Medicine, National University of Singapore, MD6, 14 Medical Drive, Singapore, 117599, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to determine whether pre-operative intra-aortic balloon pump (IABP) insertion improves surgical outcomes in high-risk coronary artery bypass grafting (CABG) patients.

methodsPatients with a EuroSCORE II greater than 1.2% who underwent CABG from 2009 to 2016 were included in the study, while those who utilized intra-operative or post-operative IABP were excluded. The analysis included a total of 2907 patients, with 377 patients undergoing preoperative IABP insertion (EuroSCORE II > 5.018%) and 1198 patients in the non-IABP group before matching; after propensity score matching (PSM), both groups consisted of a matched cohort of 250 patients.

results30-day mortality events occurred in 9 (3.6%) non-IABP group and in 12 (4.8%) IABP patients (OR: 1.33 95%CI: 0.52-3.58). Kaplan-Meier survival curve analysis showed no significant differences between the two groups in mortality up to one year after the operation (p = 0.72). On multivariate analysis, IABP usage among the PSM patients was associated with lower 30-day mortality (OR: 0.28, 95%CI: 0.07-0.92, P-value = 0.043), 90-day mortality (OR: 0.26, 95%CI: 0.08-0.78, P-value = 0.022) and reduced risk of developing severe respiratory disorders (OR: 0.10, 95%CI:0.01-0.50, P-value = 0.011).

conclusionPre-operative IABP use in high-risk patients reduces 30- and 90-day mortality rates, along with a notable decrease in rates of severe respiratory disorders.

Indexed as

Coronary Artery BypassIntra-Aortic Balloon PumpingPostoperative ComplicationsPreoperative CareAgedCoronary Artery DiseaseFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk FactorsTreatment OutcomeCoronary artery bypass graftingIn-hospital complicationsIntra-aortic balloon pumpOpen heart surgeryPropensity score matching

Identifiers

PMID38915058
PMCPMC11194871

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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.