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Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry.

Publication ,  Journal Article
Cohen, M; Urban, P; Christenson, JT; Joseph, DL; Freedman, RJ; Miller, MF; Ohman, EM; Reddy, RC; Stone, GW; Ferguson, JJ ...
Published in: Eur Heart J
October 2003

AIMS: To examine differences in patient characteristics and outcomes in 19636 patients enrolled in the USA and 3027 patients enrolled in other countries undergoing intra-aortic balloon pump (IABP) counterpulsation. METHODS AND RESULTS: Indications for IABP use; a larger percentage of US patients were identified as 'early support and stabilization for angiography or angioplasty' (21.1% US vs 11.8% non-US), and 'pre-operative support for high-risk CABG' (15.9% vs 6.6%). A smaller percentage of US patients vs non-US patients were identified as 'weaning from cardiopulmonary bypass' (14.3% vs 28.2%), and 'refractory ventricular failure' (6.2% vs 9.8%). One out of five patients in both groups was listed as 'cardiogenic shock' (18.9% US vs 20.2% non-US). All cause, risk-adjusted, in-hospital mortality (20.1% vs 28.7%; P<0.001), and mortality with IABP in place (10.8% vs 18.0%; P<0.001) were lower at US vs non-US sites. In both US and non-US institutions, IABP associated complication rates, such as IABP-related mortality (0.05% vs 0.07%), major limb ischaemia (0.9% vs 0.8%), and severe bleeding (0.9% vs 0.8%), were low. CONCLUSIONS: IABP counterpulsation is deployed at an earlier clinical stage in US patients. Mortality rates are higher for non-US patients, particularly for patients with non-surgery cardiac interventions, even after adjusting for risk factors. Complication rates were low. Physicians should therefore not be reluctant to use IABP in high-risk patients undergoing cardiac procedures.

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Published In

Eur Heart J

DOI

ISSN

0195-668X

Publication Date

October 2003

Volume

24

Issue

19

Start / End Page

1763 / 1770

Location

England

Related Subject Headings

  • United States
  • Time Factors
  • South Africa
  • Risk Factors
  • Regression Analysis
  • Registries
  • Prospective Studies
  • Professional Practice
  • Mexico
  • Male
 

Citation

APA
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ICMJE
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Cohen, M., Urban, P., Christenson, J. T., Joseph, D. L., Freedman, R. J., Miller, M. F., … Benchmark Registry Collaborators, . (2003). Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry. Eur Heart J, 24(19), 1763–1770. https://doi.org/10.1016/j.ehj.2003.07.002
Cohen, Marc, Philip Urban, Jan T. Christenson, Debra L. Joseph, Robert J. Freedman, Michael F. Miller, E Magnus Ohman, et al. “Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry.Eur Heart J 24, no. 19 (October 2003): 1763–70. https://doi.org/10.1016/j.ehj.2003.07.002.
Cohen M, Urban P, Christenson JT, Joseph DL, Freedman RJ, Miller MF, et al. Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry. Eur Heart J. 2003 Oct;24(19):1763–70.
Cohen, Marc, et al. “Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry.Eur Heart J, vol. 24, no. 19, Oct. 2003, pp. 1763–70. Pubmed, doi:10.1016/j.ehj.2003.07.002.
Cohen M, Urban P, Christenson JT, Joseph DL, Freedman RJ, Miller MF, Ohman EM, Reddy RC, Stone GW, Ferguson JJ, Benchmark Registry Collaborators. Intra-aortic balloon counterpulsation in US and non-US centres: results of the Benchmark Registry. Eur Heart J. 2003 Oct;24(19):1763–1770.
Journal cover image

Published In

Eur Heart J

DOI

ISSN

0195-668X

Publication Date

October 2003

Volume

24

Issue

19

Start / End Page

1763 / 1770

Location

England

Related Subject Headings

  • United States
  • Time Factors
  • South Africa
  • Risk Factors
  • Regression Analysis
  • Registries
  • Prospective Studies
  • Professional Practice
  • Mexico
  • Male