Intra-aortic balloon pump and survival with favorable neurological outcome after out-of-hospital cardiac arrest: A multicenter, prospective propensity score-matched study

doi:10.1016/j.resuscitation.2019.07.002

Observational Study

. 2019 Oct:143:165-172.

doi: 10.1016/j.resuscitation.2019.07.002. Epub 2019 Jul 11.

Intra-aortic balloon pump and survival with favorable neurological outcome after out-of-hospital cardiac arrest: A multicenter, prospective propensity score-matched study

Takefumi Kishimori¹, Tasuku Matsuyama², Tomoki Yamada³, Koichi Hayakawa⁴, Kazuhisa Yoshiya⁵, Taro Irisawa⁵, Kazuo Noguchi⁶, Tetsuro Nishimura⁷, Toshifumi Uejima⁸, Yoshiki Yagi⁹, Takeyuki Kiguchi¹⁰, Masafumi Kishimoto¹¹, Makoto Matsuura¹², Yasuyuki Hayashi¹³, Taku Sogabe¹⁴, Takaya Morooka¹⁵, Junya Sado¹⁶, Haruka Shida¹, Kosuke Kiyohara¹⁷, Takeshi Shimazu⁵, Takashi Kawamura¹⁸, Taku Iwami¹⁸, Tetsuhisa Kitamura¹⁹; CRITICAL Study Group Investigators

Affiliations

¹ Department of Preventive Services, Kyoto University School of Public Health, Kyoto, Japan.
² Department of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
³ Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan; Emergency and Critical Care Medical Center, Osaka Police Hospital, Osaka, Japan.
⁴ Department of Emergency and Critical Care Medicine, Kansai Medical University, Takii Hospital, Moriguchi, Japan.
⁵ Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
⁶ Department of Emergency Medicine, Tane General Hospital, Osaka, Japan.
⁷ Department of Critical Care Medicine, Osaka City University, Osaka, Japan.
⁸ Department of Emergency and Critical Care Medicine, Kinki University School of Medicine, Osaka-Sayama, Japan.
⁹ Osaka Mishima Emergency Critical Care Center, Takatsuki, Japan.
¹⁰ Kyoto University Health Services, Kyoto, Japan; Critical Care and Trauma Center, Osaka General Medical Center, Osaka, Japan.
¹¹ Osaka Prefectural Nakakawachi Medical Center of Acute Medicine, Higashi-Osaka, Japan.
¹² Senshu Trauma and Critical Care Center, Osaka, Japan.
¹³ Senri Critical Care Medical Center, Saiseikai Senri Hospital, Suita, Japan.
¹⁴ Traumatology and Critical Care Medical Center, National Hospital Organization Osaka National Hospital, Osaka, Japan.
¹⁵ Emergency and Critical Care Medical Center, Osaka City General Hospital, Osaka, Japan.
¹⁶ Medicine for Sports and Performing Arts, Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
¹⁷ Department of Food Science, Otsuma Women's University, Tokyo, Japan.
¹⁸ Kyoto University Health Services, Kyoto, Japan.
¹⁹ Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan. Electronic address: lucky_unatan@yahoo.co.jp.

PMID: 31302105
DOI: 10.1016/j.resuscitation.2019.07.002

Observational Study

Intra-aortic balloon pump and survival with favorable neurological outcome after out-of-hospital cardiac arrest: A multicenter, prospective propensity score-matched study

Takefumi Kishimori et al. Resuscitation. 2019 Oct.

. 2019 Oct:143:165-172.

doi: 10.1016/j.resuscitation.2019.07.002. Epub 2019 Jul 11.

Authors

Affiliations

¹ Department of Preventive Services, Kyoto University School of Public Health, Kyoto, Japan.
² Department of Emergency Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
³ Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan; Emergency and Critical Care Medical Center, Osaka Police Hospital, Osaka, Japan.
⁴ Department of Emergency and Critical Care Medicine, Kansai Medical University, Takii Hospital, Moriguchi, Japan.
⁵ Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
⁶ Department of Emergency Medicine, Tane General Hospital, Osaka, Japan.
⁷ Department of Critical Care Medicine, Osaka City University, Osaka, Japan.
⁸ Department of Emergency and Critical Care Medicine, Kinki University School of Medicine, Osaka-Sayama, Japan.
⁹ Osaka Mishima Emergency Critical Care Center, Takatsuki, Japan.
¹⁰ Kyoto University Health Services, Kyoto, Japan; Critical Care and Trauma Center, Osaka General Medical Center, Osaka, Japan.
¹¹ Osaka Prefectural Nakakawachi Medical Center of Acute Medicine, Higashi-Osaka, Japan.
¹² Senshu Trauma and Critical Care Center, Osaka, Japan.
¹³ Senri Critical Care Medical Center, Saiseikai Senri Hospital, Suita, Japan.
¹⁴ Traumatology and Critical Care Medical Center, National Hospital Organization Osaka National Hospital, Osaka, Japan.
¹⁵ Emergency and Critical Care Medical Center, Osaka City General Hospital, Osaka, Japan.
¹⁶ Medicine for Sports and Performing Arts, Department of Health and Sport Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
¹⁷ Department of Food Science, Otsuma Women's University, Tokyo, Japan.
¹⁸ Kyoto University Health Services, Kyoto, Japan.
¹⁹ Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka, Japan. Electronic address: lucky_unatan@yahoo.co.jp.

PMID: 31302105
DOI: 10.1016/j.resuscitation.2019.07.002

Abstract

Objectives: This study aimed to evaluate whether intra-aortic balloon pump (IABP) use in nontraumatic out-of-hospital cardiac arrest (OHCA) patients who achieved return of spontaneous circulation (ROSC) is associated with favorable neurological outcome after OHCA.

Background: The association between the IABP use in OHCA patients and favorable neurological outcome has not been extensively evaluated.

Methods: The Comprehensive Registry of Intensive Cares for OHCA Survival (CRITICAL) study, a multicenter, prospective observational registry in Osaka, Japan, included consecutive nontraumatic OHCA patients aged ≥18 years who achieved ROSC from July 2012 to December 2016. The primary outcome was 1-month survival with favorable neurological outcome. Logistic regression analysis was used to evaluate the association between the IABP use or non-IABP use and favorable neurological outcome using one-to-one propensity score (PS) matching analysis.

Results: Among the 2894 eligible patients, 10.4% used IABP, and 89.6% did not use IABP. In all patients, the proportion of 1-month survival with favorable neurological outcome was higher in the IABP use group than in the non-IABP use group (30.7% [92/300] vs. 13.2% [342/2594]). However, in PS-matched patients, the proportions of 1-month survival with favorable neurological outcome were almost consistent, and there were no significant differences between the IABP use group and the non-IABP use group (37.3% [59/158] vs. 41.1% [65/158]; adjusted odds ratio, 0.97; 95% confidence interval, 0.48-1.96).

Conclusions: In this population, the current PS matching analysis did not reveal any association between the IABP use and 1-month survival with favorable neurological outcome among adult patients with ROSC after OHCA.

Keywords: Intra-aortic balloon pump; Out-of-hospital cardiac arrest; Percutaneous mechanical circulatory support; Post-Cardiac arrest syndrome.

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Intra-aortic balloon pump and survival with favorable neurological outcome after out-of-hospital cardiac arrest: A multicenter, prospective propensity score-matched study

Affiliations

Intra-aortic balloon pump and survival with favorable neurological outcome after out-of-hospital cardiac arrest: A multicenter, prospective propensity score-matched study

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