Cardiothoracic & vascular anesthesia
Trends in the Utilization of Multiorgan Support Among Adults Undergoing High-risk Cardiac Surgery in the United States
Authors' conclusion
Among patients undergoing high-risk cardiac surgery in the United States, MODS prevalence and MOS utilization (including MCS) increased over time. Risk-adjusted mortality trends differed in elective and non-elective cardiac surgery.
Study context
- Population
- Adults ≥18 years undergoing high-risk elective or non-elective cardiac surgery, 183 US hospitals183 hospitals
- Participants
- 129,102 vs 136,190
- Exposure
- Trends over time, January 2008–June 2018
- Electiven = 129,102
- Non-electiven = 136,190
- Outcome
- MODS prevalence and MOS utilization
- Follow-up
- 2008–2018
Methodological detailsmulticentre, administrative database (Premier Healthcare Database)
- Multicentre
- Administrative database (Premier Healthcare Database)
Main finding
As reported in the abstract
| Group | Value | Multi-organ support (MOS) among multiorgan dysfunction (MODS) |
|---|---|---|
| Elective | 7.7% | 2,181 (22%) |
| Non-elective | 15.8% | 5,425 (25%) |
Value
Elective7.7%
Non-elective15.8%
Multi-organ support (MOS) among multiorgan dysfunction (MODS)
Elective2,181 (22%)
Non-elective5,425 (25%)
Observational data: associations, not effects.
Further findings
Risk-adjusted mortality in patients with MODS receiving MOS · 2008–2018
- Increased in non-elective and decreased in elective high-risk cardiac surgery
- P < 0.001
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Trends in the Utilization of Multiorgan Support Among Adults Undergoing High-risk Cardiac Surgery in the United States. J Cardiothorac Vasc Anesth. Published 27 April 2024. doi:10.
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