Bridge to nowhere: A retrospective single-center study on patients using chronic intravenous inotropic support as bridge therapy who do not receive surgical therapy. (Record no. 307)

MARC details
000 -LEADER
fixed length control field 03935nam a22004817a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221018s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2297-055X
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.3389/fcvm.2022.918146 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC9468486 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36110411
245 ## - TITLE STATEMENT
Title Bridge to nowhere: A retrospective single-center study on patients using chronic intravenous inotropic support as bridge therapy who do not receive surgical therapy.
251 ## - Source
Source Frontiers in Cardiovascular Medicine. 9:918146, 2022.
252 ## - Abbreviated Source
Abbreviated source Front. cardiovasc. med.. 9:918146, 2022.
253 ## - Journal Name
Journal name Frontiers in cardiovascular medicine
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status PubMed-not-MEDLINE
266 ## - Date added to catalog
Date added to catalog 2022-10-20
520 ## - SUMMARY, ETC.
Abstract Background: Many patients with advanced heart failure (HF) are administered chronic intravenous inotropic support (CIIS) as bridge to surgical therapy; some ultimately never receive surgery. We aimed to describe reasons patients "crossover" from CIIS as bridge therapy to palliative therapy, and compare end-of-life outcomes to patients initiated on CIIS as palliative therapy.
520 ## - SUMMARY, ETC.
Abstract Conclusion: Patients on CIIS as bridge therapy who do not ultimately receive surgical therapy "crossover" to palliative intention due to frailty, or development of or identification of serious illnesses. Nevertheless, these "bridge to nowhere" patients are less likely to receive palliative care or hospice and more likely to die in the intensive care unit than patients on CIIS as palliative therapy. Copyright © 2022 Rao, Singh, Maini, Anderson, Crowell, Henderson, Gholami, Sheikh, Najjar and Groninger.
520 ## - SUMMARY, ETC.
Abstract Methods: Single-institution, retrospective cohort study of patients on CIIS as bridge or palliative therapy between 2010 and 2016; data obtained through review of health records and multi-disciplinary selection meeting minutes, was analyzed using descriptive and inferential statistics.
520 ## - SUMMARY, ETC.
Abstract Results: Of 246 patients discharged on CIIS as bridge therapy, 37 (16%) (male n = 28, 76%; African American n = 22, 60%) ultimately never received surgery. 67 matched patients on CIIS as palliative therapy were included for analysis (male n = 47, 70%; African American n = 47, 70%). The most common reasons for "crossover" from CIIS as bridge therapy to palliative therapy were frailty (n = 10, 27%), cardiac arrest (n = 5, 13.5%), and progressive non-cardiac illnesses (n = 6, 16.2%). A similar percentage of patients in the bridge (n = 28, 76%) and palliative (n = 48, 72%) groups died outside the hospital (P=0.66); however, fewer bridge patients received hospice care compared to the palliative group (35% vs 69%, P < 0.001). Comparing patients who died in the hospital, bridge patients (n = 9; 100%) were more likely to die in the intensive care unit than palliative patients (n = 8; 42%) (P < 0.001).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Heart & Vascular Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Cardiovascular Disease Fellowship
656 ## - INDEX TERM--OCCUPATION
Department Internal Medicine Residency
656 ## - INDEX TERM--OCCUPATION
Department Medicine/Palliative Care
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Gholami, Sherry
Institution Code MGUH
Program Internal Medicine Residency
Degree MD
Resident year Resident PGY 1
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Groninger, Hunter
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Najjar, Samer S
Institution Code MHVI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Rao, Anirudh
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sheikh, Farooq H
Institution Code MHVI
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Singh, Manavotam
Institution Code MWHC
Program Cardiovascular Disease Fellowship
Degree MBBS
Resident year Fellow PGY 4
790 ## - Authors
All authors Anderson KM, Crowell NA, Gholami SS, Groninger H, Henderson PR, Maini M, Najjar SS, Rao A, Sheikh FH, Singh M
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.3389/fcvm.2022.918146">https://dx.doi.org/10.3389/fcvm.2022.918146</a>
Public note https://dx.doi.org/10.3389/fcvm.2022.918146
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 10/20/2022   36110411 36110411 10/20/2022 10/20/2022 Journal Article

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