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Thrombocytopenia is a frequent and serious adverse event in patients treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for refractory cardiogenic shock. Similarly to postcardiac surgery patients, heparin-induced thrombocytopenia (HIT) could represent the causative underlying mechanism. However, the epidemiology as well as related mortality regarding HIT and VA-ECMO remains largely unknown. The investigators aimed to define the prevalence and associated 90-day mortality of HIT diagnosed under VA-ECMO.This retrospective study included patients under VA-ECMO from 20 French centers between 2012 and 2016.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hospitalization for more than 3 days with high clinical suspicion of HIT and positive anti-PF4/heparin antibodies | Other | Patients are classified according to results of functional tests as having either Confirmed or Excluded HIT. |
| Measure | Description | Time Frame |
|---|---|---|
| Death | 90 days after inclusion |
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Inclusion Criteria:
Exclusion Criteria:
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Patients hospitalized in intensive care for cardiogenic shock requiring cardiac assisting with ECMO-VA.
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| ID | Term |
|---|---|
| D006760 | Hospitalization |
| ID | Term |
|---|---|
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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