The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis
Abstract Background The utilization of pulmonary artery catheterization (PAC) in surgical patients remains controversial. This study aims to assess the impact of PAC utilization on surgical patient outcomes. Methods Electronic databases were searched for studies comparing PAC with no-PAC in surgical...
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BMC
2025-05-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-025-03416-8 |
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| author | Chun-mei Xie Li-xian He Meng-qi Shen Yun-tai Yao The Evidence in Cardiovascular Anesthesia (EICA) Group |
| author_facet | Chun-mei Xie Li-xian He Meng-qi Shen Yun-tai Yao The Evidence in Cardiovascular Anesthesia (EICA) Group |
| author_sort | Chun-mei Xie |
| collection | DOAJ |
| description | Abstract Background The utilization of pulmonary artery catheterization (PAC) in surgical patients remains controversial. This study aims to assess the impact of PAC utilization on surgical patient outcomes. Methods Electronic databases were searched for studies comparing PAC with no-PAC in surgical patients. The primary outcome was short-term mortality. Secondary outcomes included the incidence of postoperative complications, postoperative recovery indicators, and hospitalization costs. Results Ten randomized controlled trials (n = 2,889) and sixteen observational studies (n = 2,221,917) were included. Among these studies, fifteen involved cardiac surgical patients (n = 2,217,736), and eleven involved non-cardiac surgical patients (n = 7,070). The present study demonstrated PAC utilization did not affect short-term mortality in cardiac surgical patients [odds ratio (OR) 1.20, 95% confidence interval (CI) 0.79–1.82, p 0.40], and was associated with a higher incidence of postoperative chronic heart failure, acute renal failure, cerebrovascular events, infectious complications, and longer length of stay (LOS) in intensive care unit (ICU) or hospital. Moreover, PAC utilization was not associated with short-term mortality (OR 0.40, 95% CI 0.16–1.02, p 0.06) and other outcomes for non-cardiac surgical patients. Conclusions This meta-analysis suggested PAC utilization was not associated with short-term mortality in surgical patients but with a higher incidence of major complications and longer LOS in the ICU or hospital in cardiac surgical patients. |
| format | Article |
| id | doaj-art-ee7112e86e4c4ad4901c694349ee293c |
| institution | OA Journals |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-ee7112e86e4c4ad4901c694349ee293c2025-08-20T02:15:11ZengBMCJournal of Cardiothoracic Surgery1749-80902025-05-0120111510.1186/s13019-025-03416-8The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysisChun-mei Xie0Li-xian He1Meng-qi Shen2Yun-tai Yao3The Evidence in Cardiovascular Anesthesia (EICA) GroupDepartment of Anesthesiology, Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Affiliated Cardiovascular Hospital of Kunming Medical UniversityDepartment of Anesthesiology, Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Affiliated Cardiovascular Hospital of Kunming Medical UniversityDepartment of Anesthesiology, Fuwai Yunnan Hospital, Chinese Academy of Medical Sciences, Affiliated Cardiovascular Hospital of Kunming Medical UniversityDepartment of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical SciencesAbstract Background The utilization of pulmonary artery catheterization (PAC) in surgical patients remains controversial. This study aims to assess the impact of PAC utilization on surgical patient outcomes. Methods Electronic databases were searched for studies comparing PAC with no-PAC in surgical patients. The primary outcome was short-term mortality. Secondary outcomes included the incidence of postoperative complications, postoperative recovery indicators, and hospitalization costs. Results Ten randomized controlled trials (n = 2,889) and sixteen observational studies (n = 2,221,917) were included. Among these studies, fifteen involved cardiac surgical patients (n = 2,217,736), and eleven involved non-cardiac surgical patients (n = 7,070). The present study demonstrated PAC utilization did not affect short-term mortality in cardiac surgical patients [odds ratio (OR) 1.20, 95% confidence interval (CI) 0.79–1.82, p 0.40], and was associated with a higher incidence of postoperative chronic heart failure, acute renal failure, cerebrovascular events, infectious complications, and longer length of stay (LOS) in intensive care unit (ICU) or hospital. Moreover, PAC utilization was not associated with short-term mortality (OR 0.40, 95% CI 0.16–1.02, p 0.06) and other outcomes for non-cardiac surgical patients. Conclusions This meta-analysis suggested PAC utilization was not associated with short-term mortality in surgical patients but with a higher incidence of major complications and longer LOS in the ICU or hospital in cardiac surgical patients.https://doi.org/10.1186/s13019-025-03416-8Cardiac surgeryNon-cardiac surgeryOutcomesPulmonary artery catheterizationMeta-analysis |
| spellingShingle | Chun-mei Xie Li-xian He Meng-qi Shen Yun-tai Yao The Evidence in Cardiovascular Anesthesia (EICA) Group The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis Journal of Cardiothoracic Surgery Cardiac surgery Non-cardiac surgery Outcomes Pulmonary artery catheterization Meta-analysis |
| title | The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis |
| title_full | The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis |
| title_fullStr | The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis |
| title_full_unstemmed | The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis |
| title_short | The association of pulmonary artery catheterization utilization and surgical patients’ outcomes: a PRISMA-compliant systematic review and meta-analysis |
| title_sort | association of pulmonary artery catheterization utilization and surgical patients outcomes a prisma compliant systematic review and meta analysis |
| topic | Cardiac surgery Non-cardiac surgery Outcomes Pulmonary artery catheterization Meta-analysis |
| url | https://doi.org/10.1186/s13019-025-03416-8 |
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