Cardiothoracic & vascular anesthesia

Mortality and adverse events of extracorporeal haemoadsorption therapy in cardiac surgery: a systematic review and meta-analysis of randomised controlled trials

Br J AnaesthPublished Systematic review and meta-analysis of randomised controlled trials

Pooled result · MortalityResult — go to the resultOdds ratio 1.08 95% CI 0.59–2.01

Authors' conclusion

This meta-analysis did not show evidence of clinical benefit for routine use of HA during CPB for cardiac surgery, although clinically relevant benefit or harm cannot be excluded on the currently available evidence.

Study context

Population
Adults undergoing cardiac surgery with cardiopulmonary bypass (CPB)
Participants
713 adults · 12 RCTs
Comparison
Haemoadsorption (HA) inserted into the CPB circuit vs conventional CPB without HA
Outcome
Mortality

Pooled result

As reported in the abstract

Odds ratio

1.08

95% CI 0.59–2.01

P = 0.75

HA vs Conventional CPB
OR 1.08 (95% CI 0.59–2.01); P = 0.75

Further pooled results

OutcomePooled mean difference (95% CI)P value
Hospital LOS0.21 (−1.89-2.30)P = 0.82
ICU LOS−0.36 (−1.31-0.60)P = 0.42

Requirements for ventilation, cardiovascular support or RRT

No significant difference

Safety

Adverse events

No significant difference

Original publication

Mortality and adverse events of extracorporeal haemoadsorption therapy in cardiac surgery: a systematic review and meta-analysis of randomised controlled trials. Br J Anaesth. Published 21 July 2026. doi:10.1016/j.bja.2026.06.005

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