Prognostic Implications of Quantifying Haemodynamic Support: Looking Beyond a Snapshot Score

• Published in: Revista brasileira de cirurgia cardiovascular Vol. 37; no. 4; p. 609
• Main Authors: Magoon, Rohan, Jose, Jes
• Format: Journal Article
• Language: English
• Published: Sao Paulo Sociedade Brasileira de Cirurgia Cardiovascular 01-01-2022
• Subjects: Coronary vessels; Hemodynamics; Letter to the Editor; Morbidity; Mortality; Surgery
• ISSN: 1678-9741; 0102-7638; 1678-9741
• DOI: 10.21470/1678-9741-2021-0106

[...]the authors’ findings need to be carefully interpreted in the absence of VIS estimation in the intensive care unit (ICU) in the index study, particularly when the predictive links of postoperative VIS are being sought with mortality and dynamic ICU morbid outcomes, such as renal failure, central nervous damage, etc. in a small cohort of 290 patients1. Appropriate to the context, Koponen et al.2 study deserves a mention here which aimed to retrospectively evaluate the association between the highest VIS in the first 24 hours post-ICU admission and a composite poor outcome in 3,213 adult cardiac surgical patients. Ahead of the augmented standardization achieved by employing objective haemodynamic support scores like VIS, their outcome predictive potential evaluation needs to be more deliberate with a simultaneous consideration to the two equally critical factors of magnitude and duration of haemodynamic support rather than envisaging a snapshot score concept.