Cardiothoracic & vascular anesthesia
Impact of Perioperative Pulmonary Artery Catheter Use on Clinical Outcomes After Cardiac Surgery: A Nationwide Cohort Study
Main findingResult — go to the resultAdjusted odds ratio 0.81 95% CI 0.76–0.86Authors' conclusion
Perioperative use of PACs was associated with a significant reduction in the risk of postoperative 1-year all-cause mortality.
Study context
- Population
- Adults undergoing cardiac surgery in Korea, January 2011–December 2020, national health insurance claim databaseanalysed
- Participants
- 61,405 adults
- Exposure
- Perioperative PAC use vs no PAC use
- Outcome
- 1-year all-cause mortality
- Follow-up
- 1 year
Methodological detailsnationwide, population-based, stabilized inverse probability of treatment weighting
- Nationwide
- Population-based
- Stabilized inverse probability of treatment weighting
Main finding
As reported in the abstract
Adjusted odds ratio
0.81
95% CI 0.76–0.86
PAC vs no-PAC
adjusted OR 0.81 (95% CI 0.76–0.86)
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | |
|---|---|---|
| 1-year all-cause mortality, isolated off-pump CABG (subgroup) | adjusted OR 0.54 (95% CI 0.48–0.61) | |
| 1-year all-cause mortality, lowest-case volume centres (< 100 cases/y) (subgroup) | OR 0.70 (95% CI 0.65–0.76) | |
| 0.512Ratio (log scale) |
- 1-year all-cause mortality, isolated off-pump CABG (subgroup): type of cardiac surgery and institutional case volume significant modifiers (all P for interaction < .001)
- 1-year all-cause mortality, lowest-case volume centres (< 100 cases/y) (subgroup): all P for interaction < .001
Original publication
Impact of Perioperative Pulmonary Artery Catheter Use on Clinical Outcomes After Cardiac Surgery: A Nationwide Cohort Study. Chest. Published 18 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →