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Predictors of short-term survival in cardiac valvular surgery patients with intra-aortic balloon pump implantation

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A Letter to the Editor to this article was published on 09 April 2024

Abstract

Background

Intro-aortic balloon pump (IABP) is widely used in cardiac surgery patients nowadays. This study aimed to analyze the predictor of short-term survival in cardiac valvular surgery patients with intra-aortic balloon pump implantation.

Methods

This was a retrospective study and a total of 102 cardiac valvular surgery patients who received intra-aortic balloon pump implantation were consecutively included. We retrospectively collected the baseline characteristics and short-term outcomes. Baseline characteristics were compared between survivors with non-survivors, and logistic regression was performed to identify predictors for short-term mortality.

Results

Among all the patients, there were 71 (69.6%) patients successfully weaned from IABP and survived to discharge, the other 31 (30.4%) patients failed to wean from IABP and died within the first 30 days after surgery. When compared with non-survivors, survivors had a higher proportion of males (62% vs 32.3%, p = 0.006), a lower rate of Atrial fibrillation (38% vs 62%, p < 0.03). After IABP implantation, vasoactive drug use was significantly lower in survivors compared with non-survivors, and survivors showed significant improvements in cardiac function and urine volume. Univariate and multivariate logistic regression analysis indicated that atrial fibrillation and combined use of continuous renal replacement therapy (CRRT) were significant independent predictors for short-term mortality.

Conclusion

Timely implantation of IABP can improve patients’ cardiac and renal function and reduce the dosage of vasoactive drugs. Atrial fibrillation and combined use of CRRT are independent predictors for short-term mortality in patients who underwent cardiac valvular surgery with IABP implantation.

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Data availability

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

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Funding

This work was supported by [the National Natural Science Foundation of China] grant number [82070297], and [the Natural Science Funds of Guangdong Province] grant number [2019A1515010218].

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Author notes

  1. Liqun Shang, Jinhui Wei, and Kaizheng Liu contributed equally to this work.

Authors and Affiliations

  1. Department of Cardiac Surgery, First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan II Rd, Guangzhou, 510080, China

    Liqun Shang, Jinhui Wei, Kaizheng Liu, Yuanhan Ao, Suiqing Huang, Jian Hou, Zhongkai Wu & Jianping Yao

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  1. Liqun Shang
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  2. Jinhui Wei
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Contributions

JPY, ZKW, and LQS contributed to the study designation. LQS, JHW, and KZL performed data collection and analysis. SQH, JH, LQS, JHW, KZL, and YHA contributed to manuscript writing and editing. JPY and ZKW conducted a critical revision of the manuscript. All authors approved the final manuscript.

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Correspondence to Zhongkai Wu or Jianping Yao.

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Shang, L., Wei, J., Liu, K. et al. Predictors of short-term survival in cardiac valvular surgery patients with intra-aortic balloon pump implantation. Gen Thorac Cardiovasc Surg (2023). https://doi.org/10.1007/s11748-023-01989-6

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  • DOI: https://doi.org/10.1007/s11748-023-01989-6

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