Cardiothoracic & vascular anesthesia

Impact of perioperative dexmedetomidine treatment on 1-year mortality in patients undergoing orthotopic heart transplantation

BJA OpenPublished Retrospective cohort study

Main findingResult — go to the resultHazard ratio 0.25 95% CI 0.07–0.93

Authors' conclusion

Perioperative dexmedetomidine treatment appears to be safe regarding 1-yr mortality in patients undergoing orthotopic heart transplantation.

Study context

Population
Patients undergoing orthotopic heart transplantation at the University Hospital Duesseldorf, 2011–2021, excluding postoperative extracorporeal life support267 screened
Participants
169 patients
Exposure
Perioperative dexmedetomidine vs no dexmedetomidine
  • Dexmedetomidinen = 85
  • No dexmedetomidinen = 84reference
Outcome
Mortality
Follow-up
1 yr after surgery
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Hazard ratio

0.25

95% CI 0.07–0.93

P = 0.03

By group

Dexmedetomidine vs No dexmedetomidine
HR 0.25 (95% CI 0.07–0.93); P = 0.03

Observational data: associations, not effects.

Original publication

Impact of perioperative dexmedetomidine treatment on 1-year mortality in patients undergoing orthotopic heart transplantation. BJA Open. Published 14 March 2025. doi:10.1016/j.bjao.2025.100389

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