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Table 1 Characteristics of included studies

From: The association of vasoactive-inotropic score and surgical patients’ outcomes: a systematic review and meta-analysis

Study

Country

Design

Time period

Surgery

N

Mean age

Female, %

Time point of the VIS

Pediatrics

 Gaies et al., 2010 [1]

USA

Retrospective

Single-central

2007–2008

CHD surgery with CPB

173

0 to 6 mon

45

VIS 24 h, VIS 48 h (mean, max) after cardiac surgery

 Dilli et al., 2019 [3]

Turkey

Prospective cohort

Single-central

2016–2019

Cardiac surgery

119

15 (9–31) days

46.70

VIS 72 after cardiac surgery

 Pérez-Navero et al., 2019 [2]

Spain

Prospective observational study

N/A

CHD surgery

117

39.8 ± 52.4 mon

N/A

VIS2, 12, 24, and 48 h after cardiac surgery

 Davidson et al., 2012 [8]

USA

Prospective

Single-central

2009–2010

Cardiovascular surgery

70

N/A

39

VIS 24, VIS 48 (max), VIS 72 h after surgery

 Scherer et al., 2016 [24]

USA

Prospective

Single-central

2015–2015

CHD surgery

164

9.03 (2.6–58) mon

38

VIS 6 h, VIS 12 h, VIS 24 h, VIS 48 h after cardiac surgery

 Tadros et al., 2020 [25]

USA

Retrospective

Single-central

2011–2018

Heart transplantation

104

7.2 (0.5–15.4) yr

38.5

VIS 24 h,VIS 48 h (mean, max) after orthotopic heart transplantation

 Garcia et al., 2016 [9]

USA

Retrospective

Single-center

2008–2014

CHD surgery

149

14.8 ± 2.4 yr

34.9

VIS 48 h (max) after surgery

 Kim et al., 2015 [26]

Korea

Retrospective

Single-central

2005–2012

ASO for TGA

115

6 (1–90) days

30.4

VIS before operation

 Parmar et al., 2017 [27]

India

Prospective

Single-central

2015–2016

Ventricular septal defect closure

135

26.7 mon

45.2

VIS during intraoperative

 Butts et al., 2012 [23]

USA

Retrospective secondary analysis of RCT

Single-central

2007–2009

Cardiac surgery

76

7 days

NA

VIS 36 h (max) after surgery

 Bangalore et al., 2017 [28]

USA

Retrospective

Single-central

2010–2011

Cardiac surgery with CPB

167

2.9 ± 6.0 yr

47

VISmean 24 h, VIS 24 h (max), VIS 48 h (max), VISmean 48 h after surgery

 Little et al., 2014 [29]

USA

Retrospective

Single-central

2001–2010

Norwood operation

64

6.5 (5–8) days

35.3

VIS 48 h (max) after surgery

 Crow et al., 2014 [30]

USA

Retrospective

Single-central

2002–2011

CHD surgery

255

122 (0–362) days

41.6

VIS0–72 h (max) after surgery

 Raatz et al., 2019 [31]

Germany

Retrospective

Single-central

2014–2016

CHD surgery

745

7 (2–55) mon

42.3

VIS 0, VIS 48 ,VIS 72 h after surgery

 Kuraim et al., 2018 [32]

Canada

Prospective

Single-central

2003–2012

Cardiac surgery

565

38.7 weeks

38

VIS pre-operative, VIS 24 h (max) post-operative

 Beken et al., 2021 [33]

Turkey

Retrospective

Single-central

2015–2018

Cardiac surgery

199

2 (1–7) days

31.7

VIS 24 h (max) after surgery

 Luo et al., 2020 [34]

China

Retrospective

Single-central

2010–2018

TCPC surgery with CPB

504

2.3–36 yr

NA

VIS (max) during surgery

 Zhang et al., 2018 [35]

China

Retrospective

Single-central

2010–2017

ALCAPA surgery

71

12 (8.8–48) mon

40.8

VIS (max) during surgery

 Schroeder et al., 2018 [21]

Germany

Retrospective

Single-central

2013–2015

Congenital diaphragmatic hernia

34

7.15 days

23.5

VIS 24 h (mean) before extubation

 Kulyabin et al., 2020 [22]

Russia

Prospective randomized study

Single-central

2016–2019

Aortic arch reconstruction

45

3–30 days

NA

VIS 24 h, VIS 48 h, VIS 36 h after surgery

 Chen et al., 2020 [36]

China

Retrospective

Single-central

2012–2016

VA-ECMO-treated CABG for PCS

121

624 (55–67) mon

21

VIS 6 h before ECMO cannulation

 Miletic et al., 2015 [37]

USA

Retrospective

Single-central

2009–2013

Cardiac surgery with CPB

222

107.7 (3–358) days

47

VIS 0 h, VIS 48 h after surgery

 Murin et al., 2020 [38]

Germany

Retrospective

Single-central

2014–2018

CHD surgery with CPB

615

NA

NA

VIS 24 h after surgery

 Ödek et al., 2016 [39]

Turkey

Prospective

Single-central

2012–2014

Cardiac surgery for CHD

99

13 (3–192) mon

48

VIS at PICU admission

 Sanil et al., 2013 [40]

USA

Retrospective

Single-center

2004–2010

Heart transplant surgery

51

1.3 yr

51

max VIS 24 h, VIS 48 h after OHT

 Gaies et al., 2014 [41]

USA

Prospective,

multi-center

2011–2012

Cardiac surgery with CPB

391

84 (9–165) days

45

VIS 48 h after surgery

 Kumar et al., 2014 [42]

India

Retrospective

Single-center

2012–2013

Cardiac surgery for CHD

208

66.94 mon

27.9

max VIS 48 h after surgery

 Kulyabin et al., 2020 [43]

Russia

Retrospective

Single-center

2008–2018

Aortic arch reconstruction with CPB

121

29 (3–270) days

42.5

VIS 24 h after surgery

 Alam et al., 2018 [44]

India

Prospective

Single-central

2015–2015

Surgery for CHD with or without CPB

574

< 1 yr

41.1

VIS after surgery

 Tabbutt et al., 2019 [45]

USA

Retrospective

Multi-center

2014–2016

Cardiac surgery

8543

NA

44.9

max VIS 2 h after surgery

 SooHoo et al., 2018 [46]

USA

Retrospective

Single-center

2009–2015

Norwood operation (stage I palliation)

95

4.5 (3–6.5) days

32.6

VIS 0 h, VIS2 4 h, VIS 48 h, max VIS 7 h after surgery

 Campbell et al., 2020 [47]

USA

Prospective

Single-central

2012–2016

Cardiac surgery with CPB

34

2.5 (0.6–12.0) yr

47

VIS 2 h, VIS 2–24 h, VIS 24–48 h post-CPB

 Talwar et al., 2018 [48]

India

Retrospective

Single-center

2003–2013

Bidirectional Glenn procedure

215

5.29 ± 5 yr

29

VIS 24–72 h after surgery

 Ödek et al., 2018 [49]

Turkey

Retrospective

Single-center

2008–2013

Cardiac surgery

126

10 (1.5–168) mon

50.8

VIS at PICU admission

 Sun et al., 2022 [50]

China

Retrospective

Single-center

2021–2021

Cardiac surgery

401

26 (10,45) mon

53.4

VIS‐operatively and VIS 2 h, VIS 24 h, VIS 48 h postoperatively

 Lex et al., 2016 [51]

Australia

Secondary analysis of a single-central prospective

2004–2008

Cardiac surgery

1520

NA

39.1

VIS 72 h after surgery

 Algaze et al., 2017 [52]

USA

Retrospective

Single-center

2004–2012

Extracardiac Fontan operation with or without CPB

138

3.4 (3.15–4.4) yr

29.7

VIS 0 days after surgery

 Siehr et al., 2016 [53]

USA

Retrospective

Single-center

2009–2012

Stage 1 surgical palliation consisting of a modified Norwood procedure with right ventricle to pulmonary artery conduit

32

4.6 5± 2.75 days

56.3

VIS 72 h after cardiac surgery

 Asfari et al., 2021 [54]

USA

Retrospective

Single-center

2012–2018

Cardiac surgery with CPB

121

9 (6–28) days

NA

VIS 0 h, VIS 12 h, VIS 24 h, VIS 36 h, VIS 48 h, VIS 60 h after surgery

 Yokota et al., 2022 [55]

USA

Retrospective

Single-center

2014–2020

Cardiothoracic surgery with Williams syndrome

70

1.75 (0.7–3.4) yr

37.1

VIS 1 h, VIS 6 h, VIS 12 h, VIS 24 h after surgery

 Zhang et al., 2020 [56]

China

Retrospective

Single-center

2010–2018

Isolated systemic pulmonary shunt

451

NA

48.1

VIS 24 h after surgery

 Radbill et al., 2022 [57]

USA

Prospective

Single-central

2007–2019

CHD surgery

1250

8.2±5.8 yr

48.7

max VIS 48 h after surgery

Adults

 Yamazaki et al., 2018 [11]

Japan

Retrospective

Single-center

2009–2012

Cardiac surgery with CPB

129

61.7 ±17.5 yr

50

At the end of cardiac surgery

 Koponen et al., 2019 [10]

Finland

Retrospective

Single-center

2010–2014

Cardiac surgery

3213

68 (19–90) yr

27

The first 24 h after ICU arrival

 Han et al., 2021 [58]

China

Retrospective

Single-center

2015–2021

Cardiac surgery

90

58.0 ±10.7yr

37.8

VIS on the first postoperative day and at the start of RRT

 Kwon et al., 2022 [59]

Korea

Retrospective

Single-center

2010–2016

Off-pump coronary artery bypass grafting

2149

64.0 (57.0–71.0) yr

22.2

max VIS 48 after surgery

 Caballero et al., 2015 [60]

Spain

Retrospective,

Multi-center

2000–2009

Emergency heart transplant

390

50 ± 12 yr

19

VIS preoperative

 Baysal et al., 2021 [61]

Turkey

Prospective

Single-central

2018–2019

Elective on-pump coronary artery bypass grafting

290

62.5 (37–86) yr

23

VIS at the end of the operation

 Jiang et al., 2022 [62]

China

Retrospective

Single-central

2013–2021

CRRT-therapy patients with cardiac surgery

84

61.0 ± 13.3yr

32.1

VIS 24 h after surgery, VIS 2 h before and after CRRT

 Knight et al., 2022 [63]

USA

Retrospective

Single-central

2013–2017

BOLTx

245

53 ± 14 yr

45.7

max VIS intraoperative

 Liu et al., 2018 [64]

China

Retrospective

Single-central

2013–2014

Cardiac surgery

112

59.4 ±11.5 yr

35.7

VIS before commencing NIV

 Carmona et al., 2020 [65]

France

Retrospective

Single-central

2010–2018

LVAD implantation

68

59.6 ± 13.4 yr

14.7

VIS 24 h after surgery

 Poterucha et al., 2019 [66]

USA

Retrospective

Single-central

2002–2013

Cardiac surgery

247

33 (18–83) yr

58.7

max VIS 24 h, VIS 48 h after surgery

 Sunavsky et al., 2018 [67]

Germany

Retrospective

Single-central

2005–2016

Urgent listing for a heart transplant†

434

50 (40.58) yr

21.4

VIS at the time of high urgent registration

 Lim et al., 2017 [68]

Korea

Retrospective

Single-central

2007–2015

Cardiac surgery

160

66.6 ± 8.6 yr

43.8

VIS 24 h following surgery

 Hou et al., 2021 [69]

China

Retrospective

Single-central

2017–2019

Cardiovascular surgery

1935

62 (54–69) yr

44.9

max VIS 24 h after surgery

 Singh et al., 2022 [70]

India

Retrospective

Single-central

2015–2020

OPCABG

687

64.2 ± 9.1 yr

18.1

VIS (mean) intra-, and postoperative

 Han et al., 2019 [71]

USA

Retrospective

Single-central

2004–2015

LVAD implantation

418

58 ±13 yr

17.9

VIS intra-, and postoperative

  1. Vasoactive-inotropic score (VIS) = dopamine dose (mcg/kg/min) + dobutamine dose (mcg/kg/min) + 100 x epinephrine dose (mcg/kg/min)+ 10 x milrinone dose (mcg/kg/min) + 10,000 x vasopressin dose (units/kg/min) +100 x norepinephrine dose (mcg/kg/min)
  2. CPB cardiopulmonary bypass, ASO arterial switch operation, TGA transposition of the great arteries, TCPC total cavopulmonary surgery, ALCAP anomalous origin of the left coronary artery from the pulmonary artery surgery, VA-ECMO venoarterial extracorporeal membrane oxygenation, CHD congenital heart defects, CRRT continuous renal replacement therapy, BOLTx bilateral orthotopic lung transplant, CHD congenital heart disease