Trends in the Utilisation and In-Hospital Mortality Associated With Short-Term Mechanical Circulatory Support for Heart Failure With Reduced Ejection Fraction.
Extracorporeal membrane oxygenation
Heart failure with reduced ejection fraction
Intra-aortic balloon pump
Mechanical circulatory support
Percutaneous left ventricular assist device
Journal
Heart, lung & circulation
ISSN: 1444-2892
Titre abrégé: Heart Lung Circ
Pays: Australia
ID NLM: 100963739
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
06
02
2018
revised:
12
03
2018
accepted:
25
03
2018
pubmed:
1
5
2018
medline:
16
4
2019
entrez:
30
4
2018
Statut:
ppublish
Résumé
Heart failure with reduced ejection fraction (HFrEF) is a systolic dysfunction with an ejection fraction below 40% and the prevalence of it is substantially increasing in the United States. Mechanical circulatory support (MCS) devices have increasingly been used for the management of HFrEF and are associated with improved outcomes. The National Inpatient Sample database was used to identify hospitalisations with mechanical circulatory support for HFrEF from 2005 to 2014. This study observed a reduction in the utilisation of intra-aortic balloon pump (IABP), which is partially replaced by percutaneous left ventricular assist device (pLVAD) and extracorporeal membrane oxygenation (ECMO) for the management of HFrEF. In-hospital mortality in IABP and ECMO recipients decreased during the study period while mortality with pLVAD did not change. Finally, technology for the short-term MCS in HFrEF hospitalisations continues to improve, however, there is still some space for updated technology in future.
Identifiants
pubmed: 29705384
pii: S1443-9506(18)30141-0
doi: 10.1016/j.hlc.2018.03.025
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e47-e50Informations de copyright
Copyright © 2018. Published by Elsevier B.V.