52456
document
[ Prophylactic intraaortic balloon pumping in high-risk cardiac surgery patients ] . BACKGROUND We examined the impact of prophylactic IABP insertion in EuroSCORE-stratified high-risk cardiac surgery patients with a score ≥8 . MATERIAL AND METHODS A randomized trial with 104 patients either without prophylactic IABP insertion ( group A , n=52 ) or with IABP ( group B , n=52 ) was conducted . The primary endpoint was 30-day mortality . RESULTS The median age of the patients was 74 years and 43 % of participants were females . The 30-day mortality did not differ between group A ( 17.3 % ) and group B ( 13.4 % ; p=0.78 ) . The median hospital stay was 14 days in both groups . Intra- and postoperative IABP support was required by 13 patients ( 21 % ) in group A . The median ventilation time ( 14 hours versus 13 hours ) , median catecholamine dose , frequency of dialysis-dependent acute renal failure ( 28 % versus 18 % ) , cardiac indices , and frequency of a low cardiac output syndrome ( 26 % versus 25 % ) did not significantly differ between groups . CONCLUSION Prophylactic preoperative IABP insertion in EuroSCORE-stratified high-risk patients is not associated with decreased 30-day mortality .
52457
Intervention_Physical
Prophylactic intraaortic balloon pumping
52458
Intervention_Physical
prophylactic IABP insertion
52459
Outcome_Mortality
30-day mortality
52460
Outcome_Other
median hospital
52461
Outcome_Physical
median ventilation
52462
Outcome_Other
median catecholamine dose
52463
Outcome_Physical
frequency of dialysis-dependent acute renal
52464
Outcome_Physical
cardiac indices , and frequency of a low cardiac output
52465
Participant_Condition
high-risk cardiac surgery patients
52466
Participant_Age
74