Thorac Cardiovasc Surg 2013; 61(01): 047-051
DOI: 10.1055/s-0032-1331405
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Influence of Gender on Postoperative Outcome after Intra-aortic Balloon Counter-Pulsation and Cardiac Surgery

Andres Beiras-Fernandez
1   Department of Cardiothoracic Surgery, JW Goethe University, Frankfurt, Germany
2   Department of Cardiac Surgery, Ludwig-Maximilians-University, Munich, Germany
,
Tobias Kammerer
3   Department of Anesthesiology, Ludwig-Maximilians-University, Munich, Germany
,
Florian Heinz
3   Department of Anesthesiology, Ludwig-Maximilians-University, Munich, Germany
,
Felix Kur
2   Department of Cardiac Surgery, Ludwig-Maximilians-University, Munich, Germany
,
Arndt-Holger Kiessling
1   Department of Cardiothoracic Surgery, JW Goethe University, Frankfurt, Germany
,
Marion Weis
3   Department of Anesthesiology, Ludwig-Maximilians-University, Munich, Germany
,
Christian Hagl
2   Department of Cardiac Surgery, Ludwig-Maximilians-University, Munich, Germany
,
Florian Weis
3   Department of Anesthesiology, Ludwig-Maximilians-University, Munich, Germany
› Author Affiliations
Further Information

Publication History

16 May 2012

21 August 2012

Publication Date:
10 January 2013 (online)

Abstract

Introduction Female gender is an established risk factor for worse outcomes after cardiac surgery, and women are more likely to experience postoperative complications. Our aim was to analyze the influence of gender on outcome and postoperative complications after the use of intra-aortic balloon counter-pulsation (IABP) in cardiac surgery patients.

Methods Fifty-seven consecutive female patients (mean age: 73 ± 9 years) requiring an IABP at our department from January 2007 to January 2010 were retrospectively analyzed and compared with 182 male patients receiving IABP support within the same period. The collected data included patient demographics, preoperative state, operative details, postoperative pharmacological treatment, IABP-associated complications, and inhospital mortality. Preoperative mortality risk was calculated by logistic EuroSCORE.

Results There were no differences regarding the type of operation, preoperative renal or hepatic failure, though the prevalence of peripheral artery occlusive disease was higher in men. Furthermore, female patients receiving an IABP were significantly older (73 ± 9 vs. 67 ± 10 years), had a higher ejection fraction (EF) (45% ± 24% vs. 36% ± 14%), and had a higher EuroSCORE (25% ± 20% vs. 19% ± 17%; p < 0.05). Postoperative catecholamine support was significantly higher in the female patients. Women had a prolonged length of stay (LOS) at the ICU (10.64 ± 9.7 vs. 7.6 ± 7.6 days), higher incidence of renal replacement therapy, and a higher mortality (19 [19.4%] vs. 35 [33.9%]; p < 0.05) after the use of IABP.

Conclusion Women have a worse outcome after the use of IABP, including LOS at the ICU, postoperative renal failure, and inhospital mortality, despite higher EF, when compared with men.

 
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