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dc.contributor.authorRibeiro, Juliana Caldas-
dc.date.accessioned2018-09-19T18:38:57Z-
dc.date.available2018-09-19T18:38:57Z-
dc.date.issued2018-
dc.identifier.urihttp://www7.bahiana.edu.br//jspui/handle/bahiana/2497-
dc.descriptionThe primary outcome was a composite endpoint of 30-day mortality and major morbidity (cardiogenic shock, stroke, acute renal failure, mediastinitis, prolonged mechanical ventilation, and a need for reoperation). A total of 181 patients (mean [sd] age 65.4 [9.4] yr; 32% female) were randomized. The primary outcome was observed in 43 patients (47.8%) in the intra-aortic balloon pump group and 42 patients (46.2%) in the control group (p = 0.46). The median duration of inotrope use (51 hr [interquartile range, 32–94 hr] vs 39 hr [interquartile range, 25–66 hr]; p = 0.007) and the ICU length of stay (5 d [interquartile range, 3–8 d] vs 4 d [interquartile range, 3–6 d]; p = 0.035) were longer in the intra-aortic balloon pump group than in the control group. A meta-analysis of 11 randomized controlled trials confirmed a lack of survival improvement in high-risk cardiac surgery patients with perioperative intra-aortic balloon pump use. Conclusions: In high-risk patients undergoing cardiac surgery, the perioperative use of an intra-aortic balloon pump did not reduce the occurrence of a composite outcome of 30-day mortality and major complications compared with usual care alone.pt_BR
dc.description.localpubSalvador/BApt_BR
dc.subjectCardiac surgery; intra-aortic balloon pump; metaanalysis; morbidity; mortality; randomized controlled triapt_BR
dc.titleEffect of a Perioperative Intra-Aortic Balloon Pump in High-Risk Cardiac Surgery Patients: A Randomized Clinical Trialpt_BR
dc.typeProdução técnica: Outra produção técnicapt_BR
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