Journal article
Patient Characteristics and Early Clinical Outcomes With Impella 5.5: A Systematic Review and Meta-Analysis
ASAIO journal (1992), v 70(7), pp 557-564
01 Jul 2024
PMID: 38386980
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Data regarding outcomes with Impella 5.5 are limited. The aim of this systematic review and meta-analysis was to summarize patient and treatment characteristics and early clinical outcomes among patients supported by Impella 5.5. A systematic literature search was conducted in PubMed, Scopus, and Cochrane databases from September 2019 to March 2023. Studies reporting outcomes in greater than or equal to 5 patients were included for review. Patient characteristics, treatment characteristics, and early clinical outcomes were extracted. Outcomes included adverse events, survival to hospital discharge, and 30 day survival. Random-effect models were used to estimate pooled effects for survival outcomes. Assessment for bias was performed using funnel plots and Egger's tests. Fifteen studies were included for qualitative review, representing 707 patients. Mean duration of support was 9.9 +/- 8.2 days. On meta-analysis of 13 studies reporting survival outcomes, survival to hospital discharge was 68% (95% confidence interval [CI], 58-78%), and 30 day survival was 65% (95% CI, 56-74%) among patients with Impella devices predominantly supported by Impella 5.5 (>60%). There was significant study heterogeneity for these outcomes. Among 294 patients with Impella 5.5 only, survival to discharge was 78% (95% CI, 72-82%) with no significant study heterogeneity. This data present early benchmarks for outcomes with Impella 5.5 as clinical experience with these devices accrues.
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Details
- Title
- Patient Characteristics and Early Clinical Outcomes With Impella 5.5: A Systematic Review and Meta-Analysis
- Creators
- Jennie H. Kwon - Medical University of South CarolinaDana Bentley - AbiomedMarisa Cevasco - Hospital of the University of PennsylvaniaVanessa Blumer - Cleveland ClinicManreet K. Kanwar - Allegheny Health NetworkScott C. Silvestry - Advent Hlth Transplant Inst, Orlando, FL USAMani A. Daneshmand - Emory UniversityJacob Abraham - Research NetworkKhaled Shorbaji - Medical University of South CarolinaArman Kilic - Medical University of South Carolina
- Publication Details
- ASAIO journal (1992), v 70(7), pp 557-564
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiology
- Web of Science ID
- WOS:001261394700012
- Scopus ID
- 2-s2.0-85197954309
- Other Identifier
- 991021932192304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Engineering, Biomedical
- Transplantation