relation: http://publicatio.bibl.u-szeged.hu/34984/ title: Post-cardiotomy extracorporeal life support : A cohort of cannulation in the general ward creator: Bari Gábor creator: Mariani Silvia creator: van Bussel Bas C T creator: Ravaux Justine creator: Di Mauro Michele creator: Schaefer Anne creator: Khalil Jawad creator: Pozzi Matteo creator: Botta Luca creator: Pacini Davide creator: Boeken Udo creator: Samalavicius Robertas creator: Bounader Karl creator: Hou Xiaotong creator: Bunge Jeroen J H creator: Buscher Hergen creator: Salazar Leonardo creator: Meyns Bart creator: Mazeffi Michael creator: Matteucci Sacha creator: Sponga Sandro creator: MacLaren Graeme creator: Russo Claudio creator: Formica Francesco creator: Sakiyalak Pranya creator: Fiore Antonio creator: Camboni Daniele creator: Raffa Giuseppe Maria creator: Diaz Rodrigo creator: Wang I-Wen creator: Kollaborációs szervezet: PELS Investigators subject: 03.02. Klinikai orvostan description: Post-cardiotomy extracorporeal life support (ECLS) cannulation might occur in a general post-operative ward due to emergent conditions. Its characteristics have been poorly reported and investigated This study investigates the characteristics and outcomes of adult patients receiving ECLS cannulation in a general post-operative cardiac ward.The Post-cardiotomy Extracorporeal Life Support (PELS) is a retrospective (2000-2020), multicenter (34 centers), observational study including adult patients who required ECLS for post-cardiotomy shock. This PELS sub-analysis analyzed patients´ characteristics, in-hospital outcomes, and long-term survival in patients cannulated for veno-arterial ECLS in the general ward, and further compared in-hospital survivors and non-survivors.The PELS study included 2058 patients of whom 39 (1.9%) were cannulated in the general ward. Most patients underwent isolated coronary bypass grafting (CABG, n = 15, 38.5%) or isolated non-CABG operations (n = 20, 51.3%). The main indications to initiate ECLS included cardiac arrest (n = 17, 44.7%) and cardiogenic shock (n = 14, 35.9%). ECLS cannulation occurred after a median time of 4 (2-7) days post-operatively. Most patients' courses were complicated by acute kidney injury (n = 23, 59%), arrhythmias (n = 19, 48.7%), and postoperative bleeding (n = 20, 51.3%). In-hospital mortality was 84.6% (n = 33) with persistent heart failure (n = 11, 28.2%) as the most common cause of death. No peculiar differences were observed between in-hospital survivors and nonsurvivors.This study demonstrates that ECLS cannulation due to post-cardiotomy emergent adverse events in the general ward is rare, mainly occurring in preoperative low-risk patients and after a postoperative cardiac arrest. High complication rates and low in-hospital survival require further investigations to identify patients at risk for such a complication, optimize resources, enhance intervention, and improve outcomes. date: 2024 type: Folyóiratcikk type: PeerReviewed format: text identifier: http://publicatio.bibl.u-szeged.hu/34984/1/Bari.pdf identifier: Bari Gábor; Mariani Silvia; van Bussel Bas C T; Ravaux Justine; Di Mauro Michele; Schaefer Anne; Khalil Jawad; Pozzi Matteo; Botta Luca; Pacini Davide; Boeken Udo; Samalavicius Robertas; Bounader Karl; Hou Xiaotong; Bunge Jeroen J H; Buscher Hergen; Salazar Leonardo; Meyns Bart; Mazeffi Michael; Matteucci Sacha; Sponga Sandro; MacLaren Graeme; Russo Claudio; Formica Francesco; Sakiyalak Pranya; Fiore Antonio; Camboni Daniele; Raffa Giuseppe Maria; Diaz Rodrigo; Wang I-Wen; Kollaborációs szervezet: PELS Investigators: Post-cardiotomy extracorporeal life support : A cohort of cannulation in the general ward. ARTIFICIAL ORGANS, 48 (11). pp. 1355-1365. ISSN 0160-564X (2024) identifier: doi:10.1111/aor.14818 relation: https://doi.org/10.1111/aor.14818 relation: 35478794 language: eng relation: info:eu-repo/semantics/altIdentifier/doi/10.1111/aor.14818 rights: info:eu-repo/semantics/openAccess