{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:41:13Z","timestamp":1792154473538,"version":"4.4.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T00:00:00Z","timestamp":1674777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The use of a venoarterial extracorporeal membrane oxygenation (ECMO) in the postcardiotomy shock setting (PC-ECMO) can be life-saving. Risk stratification for patients under PC-ECMO is currently challenging. The aim of this study was to assess the discriminatory ability of the different available risk scores for mortality in PC-ECMO patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients aged &gt;18\u00a0years undergoing coronary artery bypass, valve surgery, or a combination of these procedures and implanted an ECMO for postcardiotomy shock between January 2017 and June 2022 in a single ELSO registered center were retrospectively included. The STS, Euroscore II, SAVE, modified SAVE, APACHE II, and VIS scores were compared for their discriminatory ability concerning weaning and 30-day survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 7342 patients underwent coronary bypass or valve surgery, of whom 109 patients with PC-ECMO were included in the analysis. The Euroscore II and STS scores were not associated significantly with 30-day mortality, whereas the SAVE, the modified SAVE, APACHE II, and VIS scores significantly predicted 30-day mortality. The SAVE and the modified SAVE scores showed moderate discrimination ability with AUCs of 0.672 and 0.695, while the APACHE and VIS scores had a satisfactory discriminatory ability with AUCs of 0.727 and 0.844, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Currently used risk scores for PC-ECMO patients do not provide satisfactory predictions for weaning and survival. VIS at the 24th hour can be a valuable parameter for risk analysis and prospective studies can investigate novel PC-ECMO risk scoring systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591231154741","type":"journal-article","created":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T04:50:17Z","timestamp":1674795017000},"page":"578-584","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The Utility of Risk Scores in Postcardiotomy Extracorporeal Membrane Oxygenation"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2385-9083","authenticated-orcid":false,"given":"Sevin\u00e7 B","family":"Erdo\u011fan","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Center, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0402-1453","authenticated-orcid":false,"given":"Murat","family":"Bastopcu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Center, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Ka\u011fan","family":"Usca","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Center, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arif Yasin","family":"\u00c7akmak","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Center, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Sarg\u0131n","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Center, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serap","family":"Aka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Center, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,1,27]]},"reference":[{"key":"bibr1-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000003876"},{"key":"bibr2-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1007\/s10047-020-01212-w"},{"key":"bibr3-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2018.03.016"},{"key":"bibr4-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-020-01068-y"},{"key":"bibr5-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951112001540"},{"key":"bibr6-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs043"},{"key":"bibr7-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.05.053"},{"key":"bibr8-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz040"},{"key":"bibr9-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv194"},{"key":"bibr10-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1520-1"},{"key":"bibr11-02676591231154741","unstructured":"ELSO Guidelines for cardiopulmonary extracorporeal life support. Ann Arbor, MI: Extracorporeal Life Support Organization. Version 1.4. https:\/\/www.elso.org\/Portals\/0\/ELSO-Guidelines-General-All-ECLS-Version-1_4.pdf (2017, accessed 11 November 2022)."},{"key":"bibr12-02676591231154741","unstructured":"Online STS risk calculator. https:\/\/riskcalc.sts.org\/stswebriskcalc\/calculate (accessed 13 August 2022)."},{"key":"bibr13-02676591231154741","unstructured":"EuroScore website - calculator. https:\/\/www.euroscore.org\/index.php?id=17&lang=en (accessed 13 August 2022)."},{"key":"bibr14-02676591231154741","unstructured":"SAVE score for VA ECMO. https:\/\/www.elso.org\/SaveScore\/Index.html (accessed 13 August 2022)."},{"key":"bibr15-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2020.09.117"},{"key":"bibr16-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1177\/03913988211021878"},{"key":"bibr17-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.11.052"},{"key":"bibr18-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.04.044"},{"key":"bibr19-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2020.03.004"},{"key":"bibr20-02676591231154741","doi-asserted-by":"publisher","DOI":"10.3390\/membranes11020084"},{"key":"bibr21-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1177\/0267659120931306"},{"key":"bibr22-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa283"},{"key":"bibr23-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.10.078"},{"key":"bibr24-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-018-1964-y"},{"key":"bibr25-02676591231154741","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.06.039"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591231154741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591231154741","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591231154741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:32:50Z","timestamp":1777656770000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591231154741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,27]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/02676591231154741"],"URL":"https:\/\/doi.org\/10.1177\/02676591231154741","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,27]]}}}