Hemodynamic monitoring using a pulmonary artery catheter versus the Vigileo/FloTrac system during elective cardiac surgery based on real-world data in Japan

Aki Kuwauchi, Satomi Yoshida, Shiro Tanaka, Sachiko Tanaka, Chikashi Takeda, Hiroshi Yonekura, Isao Nahara, Koji Kawakami
2022 Annals of Clinical Epidemiology  
The controversy concerning the benefits of pulmonary artery catheter (PAC)-based hemodynamic monitoring in cardiac surgeries has not been adequately addressed. This study aims to compare the all-cause mortality between the PAC with venous oxygen saturation monitoring and the Vigileo/FloTrac (FloTrac) system with central venous oxygen saturation monitoring in cardiac surgeries. Methods This nationwide retrospective study includes adult patients who underwent elective cardiac surgeries between
more » ... il 2010 and October 2014, based on the Japanese health insurance claims database. The main outcome was 30-day all-cause mortality. Propensity scores (PS) were used to adjust for the confounding factors. Treatment effects were estimated using multivariable logistic regression analysis, including PS. Results A total of 5,838 patients were included in this study. The crude 30-day mortality rates were 2.4% (8/334) and 1.7% (96/5,504) in the FloTrac and PAC groups, respectively. After PS matching, the ORs for 30-day all-cause mortality, in-hospital mortality after PAC
doi:10.37737/ace.22011 fatcat:kuzy7nukcvacdbj6cgd4s6ydmu