Hemodynamics, fluids & transfusion
Characteristics of pulmonary artery catheter use in multicenter intensive care unit (ICUs) in Japan and the association with mortality: a multicenter cohort study using the Japanese Intensive care PAtient Database
Main findingResult — go to the resultDifference - 0.4% 95% CI - 1.1 to 0.3Authors' conclusion
PAC use for ICU patients was not associated with lower hospital mortality after adjusting for differences between hospitals.
Study context
- Population
- Patients aged 16 years or older admitted to ICU for reasons other than procedures, Japanese Intensive care PAtient Database, April 2015 to December 2020of 184,705 in registry
- Participants
- 59,922 patients
- Exposure
- PAC use vs no PAC use
- Outcome
- Hospital mortality
Methodological detailsmulticentre registry, propensity-score analysis
- Multicentre registry
- Propensity-score analysis
Main finding
As reported in the abstract
Difference
- 0.4%
95% CI - 1.1 to 0.3
P = 0.32
By group
Observational data: associations, not effects.
Further findings
Hospital mortality, cardiac disease (subgroup)
P = 0.45
Hospital mortality, post-open-heart surgery (subgroup)
P = 0.93
Hospital mortality, shock (subgroup)
P = 0.87
Frequency of PAC use between hospitals
- Range
- 0 to 60.3%
- Median (IQR)
- 14.4% (2.2-28.6%)
- Patients with PAC who had cardiovascular disease
- 94.0%
Original publication
Characteristics of pulmonary artery catheter use in multicenter ICUs in Japan and the association with mortality: a multicenter cohort study using the Japanese Intensive care PAtient Database. Crit Care. Published 28 October 2023. doi:10. 1186/ s13054-023-04702-4
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