Epidemiology of Shock in Contemporary Cardiac Intensive Care Units
Why the study?
Clinical investigations of shock in CICUs have primarily focused on AMICS, leaving the full spectrum of shock in contemporary CICUs poorly evaluated.
Population
3049 consecutive medical CICU admissions across 16 advanced centers in North America
Comparison
Shock types (cardiogenic, distributive, hypovolemic, mixed) vs patients without shock
Design
Multicenter registry cross-sectional snapshot study
Authors
Discussion
Loading...
Member takes
Implication
High mortality persists across shock types in CICUs; leaves open whether etiology-specific strategies improve outcomes in non-AMICS cases.
Structured PICO
P
Population
3,049 consecutive medical admissions to 16 advanced cardiac intensive care units (CICUs) in North America, of which 677 (22%) met clinical criteria for shock (sustained systolic blood pressure <90 mm Hg with end-organ dysfunction).
O
Outcome
Epidemiology of shock types, CICU length of stay, and in-hospital mortalityhard clinical
In contemporary advanced CICUs, acute myocardial infarction complicated by cardiogenic shock represents less than one-third of all cardiogenic shock cases, highlighting a shift in CICU epidemiology toward mixed and non-ischemic shock etiologies with persistently high mortality.
Cite This Study
Berg et al. (2019) studied this question.