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

Crit CarePublished Retrospective cohort study

Main findingResult — go to the resultDifference - 0.4% 95% CI - 1.1 to 0.3

Authors' 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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