Key result
Blood lactate levels at 48 hours (OR 2.16; 95% CI 1.13-4.14) and daily packed red blood cell transfusions (OR 1.08; 95% CI 1.02-1.14) were significant predictors of 30-day mortality on ECMO.
Why the study?
What are the predictive factors of 30-day mortality in adult cardiac patients with cardiogenic shock supported on ECMO?
Cohort (n=42)
What are the predictive factors of 30-day mortality in adult cardiac patients with cardiogenic shock supported on ECMO?
Odds Ratio: 2.16 (95% CI 1.13–4.14)
p-value: p=0.019
Blood lactate levels at 48 hours and daily packed red blood cell transfusions are important predictors of 30-day mortality in adult patients with cardiogenic shock supported by ECMO.
No takes yet. Share an insight, caveat, or question.
Lactate at 48 h and transfusion burden may aid risk stratification on ECMO; hypothesis-generating and should not yet change practice.
Formica et al. (2010) conducted a cohort in Cardiogenic shock / cardiac failure (n=42). Blood lactate levels at 48 h and PRBC transfusions was evaluated on 30-day mortality (OR 2.16, 95% CI 1.13-4.14, p=0.019). Blood lactate levels at 48 hours (OR 2.16; 95% CI 1.13-4.14) and daily packed red blood cell transfusions (OR 1.08; 95% CI 1.02-1.14) were significant predictors of 30-day mortality on ECMO.
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