Survival predictors in ventricular assist device patients with prior extracorporeal life support: selecting appropriate candidates.

摘要: Several centers turn patients down for long-term ventricular assist devices (VADs) once they have received extracorporeal life support (ECLS) due to the expected poor outcome in these patients. The aim of this study was identify survival predictors cohort Data undergoing VAD between January 2010 and November 2013 were retrospectively reviewed. Patients on ECLS before implantation considered eligible inclusion. Outcome survivors following compared with outcomes nonsurvivors. Student's t-test χ(2)-test used as applicable. A total 65 VADs implanted. inclusion criteria met by 24 Eight did not survive first 30 days. All preoperative characteristics comparable two groups except statistically higher Model End-stage Liver Disease (MELD) score, bilirubin, white blood cell count, urea nitrogen nonsurvivors (P = 0.002, 0.01, 0.003, respectively). Stepwise discriminant analysis revealed MELD score most important predictor. Based analysis, an predictor formula generated. 30-day 1-year rates 67% 54%, respectively. In study, we able determine prior support. is limited associated postoperative complications, particularly right respiratory failure. pre-VAD outcome.