About: Multidisciplinary team approach in acute myocardial infarction patients undergoing veno-arterial extracorporeal membrane oxygenation

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About: Multidisciplinary team approach in acute myocardial infarction patients undergoing veno-arterial extracorporeal membrane oxygenation Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Multidisciplinary team approach in acute myocardial infarction patients undergoing veno-arterial extracorporeal membrane oxygenation
Creator	Hong, David Park, So Song, Young Choi, Lee, Joo Cho, Su Cho, Yang Choi, Jin-Ho Choi, Jin-Oh Choi, Seung-Hyuk Gwon, Hyeon-Cheol Hahn, Joo-Yong Jeon, Eun-Seok Kim, Darae Park, Taek Sung, Kiick Yang, Jeong Ki, Hong
source	PMC
abstract	BACKGROUND: Limited data are available on the impact of a specialized extracorporeal membrane oxygenation (ECMO) team on clinical outcomes in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). This study evaluated whether specialized ECMO team is associated with improved in-hospital mortality in AMI patients undergoing veno-arterial (VA) ECMO. METHODS: A total of 255 AMI patients who underwent VA-ECMO were included. In January 2014, a multidisciplinary ECMO team was founded at our institution. Eligible patients were classified into a pre-ECMO team group (n = 131) and a post-ECMO team group (n = 124). The primary outcome was in-hospital mortality. RESULTS: In-hospital mortality (pre-ECMO team vs. post-ECMO team, 54.2% vs. 33.9%; p = 0.002) and cardiac intensive care unit mortality (pre-ECMO team vs. post-ECMO team, 51.9% vs. 30.6%; p = 0.001) were significantly lower after the implementation of a multidisciplinary ECMO team. On multivariable logistic regression model, implementation of the multidisciplinary ECMO team was associated with reduction of in-hospital mortality [odds ratio: 0.37, 95% confidence interval (CI) 0.20–0.67; p = 0.001]. Incidence of all-cause mortality [58.3% vs. 35.2%; hazard ratio (HR): 0.49, 95% CI 0.34–0.72; p < 0.001) and readmission due to heart failure (28.2% vs. 6.4%; HR: 0.21, 95% CI 0.08–0.58; p = 0.003) at 6 months of follow-up were also significantly lower in the post-ECMO team group than in the pre-ECMO team group. CONCLUSIONS: Implementation of a multidisciplinary ECMO team was associated with improved clinical outcomes in AMI patients complicated by CS. Our data support that a specialized ECMO team is indispensable for improving outcomes in patients with AMI complicated by CS.
has issue date	2020-06-16(xsd:dateTime)
bibo:doi	10.1186/s13613-020-00701-8
has license	cc-by
sha1sum (hex)	eac2cb298765dbdcbf9d7eaafdb605db58b3cd86
schema:url	https://doi.org/10.1186/s13613-020-00701-8
resource representing a document's title	Multidisciplinary team approach in acute myocardial infarction patients undergoing veno-arterial extracorporeal membrane oxygenation
has PubMed Central identifier	PMC7296889
schema:publication	Ann Intensive Care
resource representing a document's body	covid:eac2cb298765dbdcbf9d7eaafdb605db58b3cd86#body_text
is schema:about of	named entity 'data' named entity 'AMI' named entity 'extracorporeal' named entity 'improved' named entity 'membrane oxygenation' named entity 'ARTERIAL' named entity 'DATA' covid:arg/eac2cb298765dbdcbf9d7eaafdb605db58b3cd86 named entity 'ECMO' named entity 'evaluated' named entity 'patients' named entity 'study' named entity 'complicated' named entity 'ECMO' named entity 'clinical outcomes' named entity 'ECMO' named entity 'AMI' named entity 'weaning' named entity 'extracorporeal' named entity 'aspirin' named entity 'follow-up' named entity 'Rastatt' named entity 'hypertension' named entity 'glycoprotein IIb/IIIa inhibitor' named entity 'infection' named entity 'percutaneous coronary intervention' named entity 'interquartile range' named entity 'ECMO' named entity 'advanced cardiac life support' named entity 'left ventricular ejection fraction' named entity 'extracorporeal' named entity 'Stroke' named entity 'intra-aortic balloon pump' named entity 'cardiac arrest' named entity 'ECMO' named entity 'ECMO' named entity 'perfusion' named entity 'abdomen' named entity 'critically ill patients' named entity 'inotropes' named entity 'AMI' named entity 'cardiogenic shock' named entity 'ischemia' named entity 'ECMO' named entity 'critically ill' named entity '1, 2' named entity 'CICU' named entity 'ECMO' named entity 'ECMO' named entity 'extracorporeal membrane oxygenation' named entity 'prognostic' named entity 'ECMO' named entity 'percutaneous coronary intervention' named entity 'ECMO' named entity 'ECMO' named entity 'AMI' named entity 'troponin' named entity 'CPR' named entity 'ECMO' named entity 'mechanical ventilation' named entity 'cerebrovascular accident' named entity 'CABG' named entity 'Wilcoxon rank-sum test' named entity 'P2Y12' named entity 'vasopressors' named entity 'ECMO'

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