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- Title
Impact of Pulmonary Artery Catheter Use on Short- and Long-Term Mortality in Patients with Cardiogenic Shock.
- Authors
Rossello, Xavier; Vila, Montserrat; Rivas-Lasarte, Mercedes; Ferrero-Gregori, Andreu; Sans-Roselló, Jordi; Duran-Cambra, Albert; Sionis, Alessandro
- Abstract
Objectives: The impact of pulmonary artery catheterization (PAC) on survival in patients with cardiogenic shock (CS) is not well established. This study aimed to assess whether Swan-Ganz catheter monitoring is related to short- and long-term mortality in patients with CS. Methods: One hundred and twenty-nine consecutive patients with a first admission for CS were prospectively enrolled in a single-center registry between December 2005 and May 2009, and were subsequently followed up over 5.3 years. Results: PAC was used in 64% of all patients with a mean age of 68 years (65% men). After adjustment for age, gender and the presence of CS upon admission, PAC was associated with lower shortterm mortality [hazard ratio (HR) = 0.55, 95% confidence interval (CI) 0.35-0.86, p = 0.008] as well as lower mortality rates in the long-term follow-up (HR = 0.63, 95% CI 0.41-0.97, p = 0.035). In a subgroup analysis, the use of PAC was associated with reduced mortality in patients without acute coronary syndrome (ACS), i.e. 49% in the Swan-Ganz group vs. 82% (p = 0.010), but there was no difference within the ACS group. Conclusions: The use of PAC in patients with CS was associated with lower short- and long-term mortality rates after adjustment for age, gender and the presence of shock upon admission. This benefit was only significant in those patients without ACS.
- Subjects
PULMONARY artery catheters; CARDIOGENIC shock; DEATH rate; ACUTE coronary syndrome; FOLLOW-up studies (Medicine)
- Publication
Cardiology, 2016, Vol 136, Issue 1, p61
- ISSN
0008-6312
- Publication type
Article
- DOI
10.1159/000448110