Decoding cardiogenic shock: assessing shock index and its variants as prognostic indicators for in‐hospital mortality

Autor: Luigi Colarusso, Darshan H. Brahmbhatt, Fernando L. Scolari, Kristine A. Keon, Emily Shin, Ava I. De Pellegrin Overgaard, Mahrukh Nisar, Nicole Fung, Narmin Ibrahimova, Filio Billia, Christopher B. Overgaard, Adriana C. Luk
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: ESC Heart Failure, Vol 11, Iss 5, Pp 3023-3032 (2024)
Druh dokumentu: article
ISSN: 2055-5822
DOI: 10.1002/ehf2.14853
Popis: Abstract Background Cardiogenic shock (CS) is associated with high in‐hospital mortality. Objective assessment of its severity and prognosis is paramount for timely therapeutic interventions. This study aimed to evaluate the efficacy of the shock index (SI) and its variants as prognostic indicators for in‐hospital mortality. Methods A retrospective study involving 1282 CS patients were evaluated. Baseline patient characteristics, clinical trajectory, hospital outcomes, and shock indices were collected and analysed. Receiver operating characteristic (ROC) curves were employed to determine the predictive accuracy of shock indices in predicting in‐hospital mortality. Results Of those evaluated, 866 (67.6%) survived until discharge. Non‐survivors were older (66.0 ± 13.7 vs. 57.4 ± 16.2, P
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