Key result
Multidisciplinary cardiogenic shock teams linked to ~60% lower 30-day mortality.
Why the study?
Multidisciplinary cardiogenic shock teams improve outcomes, but data from low- and middle-income countries are scarce.
Does the implementation of a multidisciplinary cardiogenic shock team reduce 30-day all-cause mortality in adults with cardiogenic shock?
Cohort (n=67)
No
Does the implementation of a multidisciplinary cardiogenic shock team reduce 30-day all-cause mortality in adults with cardiogenic shock?
The implementation of a multidisciplinary cardiogenic shock team at a tertiary center in Mexico was associated with a substantial reduction in 30-day mortality from 63% to 25%.
Background Cardiogenic shock (CS) remains associated with high mortality despite modern reperfusion and mechanical circulatory support. Multidisciplinary "CS teams" have demonstrated improved outcomes; however, data from low- and middle-income countries are scarce. This study describes the experience and outcomes following the implementation of a dedicated CS team at a tertiary hospital in Mexico. Methods We conducted a retrospective, single-center cohort study including consecutive adults with CS admitted to TecSalud between January 2021 and August 2025. The multidisciplinary CS team was established in August 2022. Patients were divided into 2 cohorts: preteam (January 2021 to July 2022) and postteam (August 2022 to August 2025). The primary end point was 30-day all-cause mortality. Mortality rates were compared using the Fisher exact test. Results A total of 67 patients were included (27 preteam, 40 postteam). Among the postteam cohort, the mean age was 63 ± 15.2 years, and 73% were male. The leading etiology was acute myocardial infarction–related CS (67.5%), followed by decompensated heart failure (20%). The median hospital stay was 11.5 days (0-122), and the average ICU stay was 7 days (1-105). Most patients presented in the Society for Cardiovascular Angiography & Interventions stage E (33%), 80% required mechanical circulatory support, and 18% underwent extracorporeal cardiopulmonary resuscitation. Implementation of the CS team was associated with a reduction in 30-day mortality from 63% to 25%. Conclusions The implementation of a multidisciplinary CS team at a tertiary center in Mexico was associated with a substantial reduction in 30-day mortality and improved care coordination. These findings support the feasibility and effectiveness of structured CS programs in complex health care environments.
No takes yet. Share an insight, caveat, or question.
Jiménez-Franco et al. (2026) conducted a cohort in Cardiogenic shock (n=67). Multidisciplinary cardiogenic shock team vs. Preteam cohort (standard care) was evaluated on 30-day all-cause mortality. Implementation of a multidisciplinary cardiogenic shock team was associated with a reduction in 30-day mortality from 63% to 25%.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: