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

Kishimori, Takefumi; Matsuyama, Tasuku; Yamada, Tomoki; Hayakawa, Koichi; Yoshiya, Kazuhisa; Irisawa, Taro; Noguchi, Kazuo; Nishimura, Tetsuro; Uejima, Tokuhisa; Yagi, Yoshiki; Kishimoto, Masafumi; Matsuura, Makoto; Hayashi, Yasuyuki; Sogabe, Taku; Morooka, Takaya; Sado, Junya; Shida, Haruka; Kiyohara, Kosuke; Shimazu, Takeshi; Kawamura, Takashi; Iwami, Taku; Kitamura, Tetsuhisa

doi:10.1016/j.resuscitation.2019.07.002

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…Previously, some RCTs revealed that IABP did not improve 30-day mortality in acute myocardial infarction and shock cases [ 7 , 16 ], but it was unclear whether IABP improved the clinically relevant outcomes among cardiac arrest patients. Our previous report using PS-matching also demonstrated that IABP was not associated with a better neurological outcome in patients with non-traumatic OHCA [ 8 ]; however, this study may have lacked power because of the sample size (N = 316 in the matched cohort). In addition, this study might have unmeasured bias due to the heterogeneity of the patients’ background because the study included both shockable and non-shockable patients.…”

Section: Discussionmentioning

confidence: 86%

“…Firstly, we estimated a PS using a logistic regression model that adjusted for the following 14 variables: year (2014–2019), sex (male or female), age (continuous value), witness status (no, yes), bystander cardiopulmonary resuscitation (no, yes), adrenaline administration at pre-hospital (no, yes), tracheal intubation at pre-hospital (no, yes), duration from call to hospital arrival (continuous value), first documented rhythm after hospital arrival (shockable, non-shockable, presence of pulse), adrenaline administration in-hospital (no, yes), coronary angiography (no, yes), target temperature management (no, yes), extracorporeal membrane oxygenation (no, yes), and cause of arrest (cardiac, noncardiac). We chose these variables, which potentially affect the probability of treatment assignment, based on clinical knowledge and previous studies [ 8 ]. We performed receiver operating characteristic curve analysis with an area under the curve of PS for predicting IABP use in patients with OHCA.…”

Section: Methodsmentioning

confidence: 99%

“…However, in a randomized trial conducted among non-OHCA patients with cardiogenic shock caused by acute myocardial infarction, we did not observe any benefits of IABP use in terms of 30-day and 1-year mortality rates [ 7 ]. Additionally, several observational studies failed to demonstrate any benefit of IABP use on survival outcomes among adult patients with OHCA [ 8 , 9 ]. Due to the limited number of patients, the impact of IABPs on favorable neurological outcomes in cardiac arrest cases with shockable rhythms could not be adequately evaluated in these studies.…”

Section: Introductionmentioning

confidence: 99%

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Intra-Aortic Balloon Pump among Shockable Out-of-Hospital Cardiac Arrest Patients: A Propensity-Weighted Analysis in a Multicenter, Nationwide Observational Study in Japan (The JAAM-OHCA Registry)

Yoshimura,

Kiguchi,

Irisawa

et al. 2023

JCM

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Background: The effectiveness of IABP for shockable out-of-hospital cardiac arrest (OHCA) has not been extensively investigated. This study aimed to investigate whether the use of an intra-aortic balloon pump (IABP) for non-traumatic shockable OHCA patients was associated with favorable neurological outcomes. Methods: From the Japanese Association for Acute Medicine Out-of-Hospital Cardiac Arrest registry, a nationwide multicenter prospective registry, we enrolled adult patients with non-traumatic and shockable OHCA for whom resuscitation was attempted, and who were transported to participating hospitals between 2014 and 2019. The primary outcome was 1-month survival with favorable neurological outcomes after OHCA. After adopting the propensity score (PS) inverse probability of weighting (IPW), we evaluated the association between IABP and favorable neurological outcomes. Results: Of 57,754 patients in the database, we included a total of 2738 adult non-traumatic shockable patients. In the original cohort, the primary outcome was lower in the IABP group (OR with 95% confidence intervals (CIs)), 0.57 (0.48–0.68), whereas, in the IPW cohort, it was not different between patients with and without IABP (OR, 1.18; 95% CI, 0.91–1.53). Conclusion: In adult patients with non-traumatic shockable OHCA, IABP use was not associated with 1-month survival with favorable neurological outcomes.

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Section: Discussionmentioning

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intra-Aortic Balloon Pump among Shockable Out-of-Hospital Cardiac Arrest Patients: A Propensity-Weighted Analysis in a Multicenter, Nationwide Observational Study in Japan (The JAAM-OHCA Registry)

Yoshimura,

Kiguchi,

Irisawa

et al. 2023

JCM

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“…By enhancing coronary blood stream through the diastolic portion of the cardiac cycle and relieving left ventricle stress through the systolic phase, the IABP is intended to improve myocardial perfusion. Out-ofhospital cardiac arrest patients have employed IABP as one of the percutaneous mechanical circulatory supports [4].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Intra-Aortic Balloon Performance in Open-Heart Surgery

Wajeeh,

Hamandi,

Alobaidi

et al. 2023

NJES

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A failing heart can be supported in several ways, including cardiopulmonary bypass pumps (CPB), extracorporeal membrane oxygenators (ECMOs), and other types of auxiliary heart pumps. The intra-aortic-balloon-pump (IABP) is one technique of internal counter-pulsation that supports maintaining the circulatory system It continues to be used as a vascular support device to critically unwell cardiac patients. Many recent studies have focused on the problems of the (IABP) in open-heart surgery, while other researchers concentrated on the positioning and size of the balloon, some of them studied the timing of the balloon's inflation and deflation. this paper has reviewed a brief Introduction, the basic principles of the balloon, how to trigger the balloon pump as well as the use of IABP in Coronary Artery Bypass Graft (CABG), balloon mistiming of inflation and deflation, balloon timing usage within open-heart surgery and finally a balloon position and sizing.

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Impact of mechanical circulatory support on out-of-hospital cardiac arrest outcomes stratified by vasoactive-inotropic score: A retrospective cohort study

Chen,

Lin,

et al. 2024

Resuscitation Plus

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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

Cited by 7 publications

References 30 publications

Intra-Aortic Balloon Pump among Shockable Out-of-Hospital Cardiac Arrest Patients: A Propensity-Weighted Analysis in a Multicenter, Nationwide Observational Study in Japan (The JAAM-OHCA Registry)

Intra-Aortic Balloon Pump among Shockable Out-of-Hospital Cardiac Arrest Patients: A Propensity-Weighted Analysis in a Multicenter, Nationwide Observational Study in Japan (The JAAM-OHCA Registry)

Analysis of Intra-Aortic Balloon Performance in Open-Heart Surgery

Impact of mechanical circulatory support on out-of-hospital cardiac arrest outcomes stratified by vasoactive-inotropic score: A retrospective cohort study

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