From: Transitioning to Del Nido cardioplegia for all-comers: the next switching gear?
UNMATCHED | MATCHED | |||||
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DN (n = 131) No.(%) or mean ± SD | CB (n = 251) No.(%) or mean ± SD | p value | DN (n = 130) % or mean ± SD | CB (n = 228) % or mean ± SD | p value | |
Cross-Clamp Time (min) | 81.1 ± 35.6 | 99.4 ± 41.2 | < 0.0001 | 80.8 ± 35.5 | 102.2 ± 31.3 | <0.0001 |
Isolated CABG | 64.6 ± 19.2 | 80.1 ± 24.1 | < 0.0001 | 65.9 ± 4.6 | 85.8 ± 4.6 | < 0.0001 |
Valvular procedures | 76.8 ± 30.3 | 82.0 ± 31.2 | 0.60 | 88.8 ± 17.9 | 110.3 ± 17.9 | 0.02 |
CABG+Valvular procedures | 104.3 ± 31.0 | 134.8 ± 41.4 | 0.05 | 106.7 ± 7.7 | 146.0 ± 7.7 | 0.001 |
Others | 95.3 ± 43.1 | 120.7 ± 45.6 | 0.002 | 113.8 ± 14.3 | 128.9 ± 14.0 | 0.24 |
Isolated valve | 91.9 ± 41.4(85) N = 50/61 | 122.8 ± 43.2(123) N = 79/91 | < 0.0001 | 104.3 ± 9.4 | 127.9 ± 9.2 | 0.0005 |
Multiple valve | 126.7 ± 31.7(120) N = 11/61 | 174.0 ± 43.2(179) N = 12/91 | 0.0074 | 126.7 ± 10.9 | 167.6 ± 11.6 | 0.0179 |
CBP time (min) | 106.3 ± 46.6 | 125.1 ± 49.6 | 0.0004 | 105.9 ± 46.5 | 131.2 ± 38.8 | <0.0001 |
Isolated CABG | 81.6 ± 22.0 | 99.2 ± 28.0 | 0.0001 | 84.9 ± 7.6 | 109.3 ± 7.6 | < 0.0001 |
Valvular procedures | 104.3 ± 34.1 | 113.1 ± 49.3 | 0.51 | 112.4 ± 16.1 | 136.7 ± 16.1 | 0.03 |
CABG+Valvular procedures | 127.8 ± 5.5 | 164.0 ± 47.3 | 0.04 | 132.4 ± 10.0 | 177.3 ± 10.0 | 0.001 |
Others | 127.6 ± 58.3 | 153.8 ± 52.4 | 0.008 | 149.3 ± 11.8 | 166.3 ± 11.8 | 0.31 |
Isolated valve | 124.0 ± 54.1(118) N = 50/61 | 154.1 ± 51.7(152) N = 79/91 | 0.0020 | 137.7 ± 11.2 | 160.3 ± 11.0 | 0.0089 |
Multiple valve | 157.7 ± 43.3(146) N = 11/61 | 210.6 ± 46.4(206) N = 12/91 | 0.0104 | 157.7 ± 12.9 | 205.4 ± 13.7 | 0.0192 |
Length of surgery ‘SkinSkin’ (min) | 204.0 ± 65.5 | 236.4 ± 67.2 | < 0.0001 | 203.1 ± 65.0 | 241.5 ± 54.7 | <0.0001 |
Isolated CABG | 178.5 ± 32.7 | 212.0 ± 46.7 | < 0.0001 | 183.7 ± 8.2 | 224.2 ± 8.2 | < 0.0001 |
Valvular procedures | 198.8 ± 63.3 | 211.4 ± 83.7 | 0.59 | 205.7 ± 25.3 | 229.3 ± 25.3 | 0.19 |
CABG+Valvular procedures | 238.0 ± 94.5 | 270.8 ± 63.0 | 0.25 | 235.3 ± 15.2 | 286.2 ± 15.2 | 0.02 |
Others | 225.2 ± 75.9 | 267.0 ± 73.9 | 0.002 | 251.2 ± 15.2 | 293.4 ± 15.2 | 0.05 |
Isolated valve | 224.3 ± 85.6(215) N = 50/61 | 262.5 ± 76.1(255) N = 79/91 | 0.0092 | 240.0 ± 16.5 | 271.2 ± 16.2 | 0.0200 |
Multiple valve | 246.4 ± 53.1(230) N = 11/61 | 304.9 ± 95.0(324) N = 12/91 | 0.0861 | 246.4 ± 22.3 | 299.9 ± 23.7 | 0.1143 |
Retrograde cardioplegia | 17(13.0) | 76(31.3) | 0.0001 | 13.1 | 38.0 | <0.0001 |
Antegrade cardioplegia | 130(99.2) | 249(99.2) | 1.0 | 99.2 | 98.9 | 0.81 |
Total cardioplegia dose (mL)a | 1331 ± 876 | 3719 ± 1571 | < 0.0001 | 1328 ± 879 | 3773 ± 1226 | <0.0001 |
Minimal temperature on CPB(°C) | 30.4 ± 3.2 | 31.1 ± 3.4 | 0.005 | 30.5 ± 3.2 | 30.8 ± 2.8 | 0.28 |
Glucose peak on CPB (mmol/l) | 8.2 ± 2.3 | 8.8 ± 2.4 | 0.011 | 8.2 ± 2.3 | 9.0 ± 1.8 | 0.001 |
Glucose end CBP (mmol/l) | 8.4 ± 2.6 | 8.2 ± 2.4 | 0.10 | 8.4 ± 2.7 | 8.9 ± 1.9 | 0.06 |
Glucose >10 end of CBP (mmol/l) | 24(20.0) | 62(26.2) | 0.24 | 20.2 | 24.2 | 0.46 |
Transfusion in OR | 48(36.6) | 104(41.4) | 0.38 | 36.2 | 42.7 | 0.27 |
Intraoperative Defibrillation | 21 (16) | 69 (27.5) | 0.02 | 16.9 | 32.4 | 0.01 |