Thorac Cardiovasc Surg 2007; 55(3): 163-167
DOI: 10.1055/s-2006-955879
Original Cardiovascular

© Georg Thieme Verlag KG Stuttgart · New York

A Risk Score to Predict 30-Day Mortality in Patients with Intra-Aortic Balloon Pump Implantation

D. Saeed1 , A. El-Banayosy1 , A. Zittermann1 , D. Fritzsche1 , N. Mirow1 , M. Morshuis1 , R. Koerfer1
  • 1Department of Cardiothoracic Surgery, Heart Center North Rhine-Westphalia, Ruhr University of Bochum, Bad Oeynhausen, Germany
Further Information

Publication History

received July 11, 2006

Publication Date:
05 April 2007 (online)

Abstract

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.

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MD Aly El-Banayosy

Department of Cardiothoracic Surgery
Heart Center North-Rhine Westfalia
Ruhr University of Bochum

Georgstraße 11

32545 Bad Oeynhausen

Germany

Phone: + 49 57 31 97 31 75

Fax: + 49 57 31 97 21 70

Email: abanayosy@hdz-nrw.de