Table 2 In-hospital outcomes in tMCS treated AMI hospitalizations.

From: ECMO and impella increase stroke risk in acute myocardial infarction

 

Medical only

N = 4,370,069

IABP only

N = 136,005

Impella only

N = 41,560

ECMO

N = 10,695

P Value

Stroke

148,125 (3.39)

4835 (3.56)

1885 (4.54)

1405 (13.14)

 < 0.001

 Ischemic stroke

128,070 (2.93)

4315 (3.17)

1645 (3.96)

1060 (9.91)

 < 0.001

 Hemorrhagic Stroke

30,175 (0.69)

805 (0.59)

360 (0.87)

510 (4.77)

 < 0.001

In-Hospital death

314,275 (7.19)

25,180 (18.51)

13,115 (31.56)

5865 (54.84)

 < 0.001

Bleeding

342,255 (7.83)

21,485 (15.80)

7570 (18.21)

3500 (32.73)

 < 0.001

Acute kidney injury

1,182,920 (27.07)

53,890 (39.62)

21,195 (51.00)

8090 (75.64)

 < 0.001

New dialysis

74,820 (1.71)

5810 (4.27)

3300 (7.94)

2220 (20.76)

 < 0.001

Cardiac tamponade

5,535 (0.13)

1295 (0.95)

550 (1.32)

605 (5.66)

 < 0.001

Acquired pneumonia

69,375 (1.59)

3630 (2.67)

1345 (3.24)

1055 (9.86)

 < 0.001

Sepsis

418,370 (9.57)

11,265 (8.28)

5030 (12.10)

2400 (22.44)

 < 0.001

Tracheostomy

24,410 (0.56)

3075 (2.26)

965 (2.32)

1160 (10.85)

 < 0.001

Discharge status

 Routine

2,408,260 (55.11)

42,070 (30.93)

11,665 (28.07)

660 (6.17)

 < 0.001

 Home health care

579,120 (13.25)

24,370 (17.92)

5180 (12.46)

640 (5.98)

 < 0.001

 Other care facility

1,010,150 (23.12)

43,795 (32.20)

11,445 (27.53)

3510 (32.82)

 < 0.001

 Length of stay, days

3 (2–6)

7 (4–12)

7 (3–13)

11 (4–24)

 < 0.001

 Mean cost, $

16,119 (9,264–26,036)

43,410 (27,000–66,682)

63,813 (45,864–90,573)

126,365 (71,669–218,104)

 < 0.001

  1. Values n (%), or median (interquartile range).
  2. AMI acute myocardial infarction, CABG coronary artery bypass grafting, CAD coronary artery disease, ECMO extracorporeal membrane oxygenation, IABP intra-aortic balloon pump, PCI Percutaneous coronary intervention, STEMI ST segment elevation myocardial infarction, tMCS temporary mechanical circulatory support.