Key result
Preoperative and intraoperative IABP insertion are linked to ~53% lower early mortality versus postoperative placement.
Why the study?
Controversy exists regarding the optimal timing for intraaortic balloon pump (IABP) insertion in cardiac surgery patients with low cardiac output.
Does early (preoperative or intraoperative) intraaortic balloon pump insertion reduce early mortality compared to postoperative insertion in patients undergoing cardiac surgery?
Population
273 cardiac surgery patients requiring perioperative IABP support
Comparison
Preoperative vs intraoperative vs postoperative IABP insertion
Design
Cohort study
Authors
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Early IABP insertion was associated with lower mortality; hypothesis-generating and should not change practice without randomized confirmation.
Cohort (n=273)
Does early (preoperative or intraoperative) intraaortic balloon pump insertion reduce early mortality compared to postoperative insertion in patients undergoing cardiac surgery?
Absolute Event Rate: 22.8% vs 48.6%
In patients requiring intraaortic balloon pump support during cardiac surgery, early insertion (pre- or intraoperative) is associated with significantly lower early mortality compared to delayed postoperative insertion.
Bagheri et al. (2022) conducted a cohort in Cardiac surgery requiring intraaortic balloon pump support (n=273). Preoperative or intraoperative IABP insertion vs. Postoperative IABP insertion was evaluated on Early mortality. Preoperative and intraoperative IABP insertion during cardiac surgery were associated with lower early mortality (19.0% and 22.8%, respectively) compared to postoperative insertion (48.6%).
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