Acute cardiac care & resuscitation

Cardiogenic Shock Mortality According to Aetiology in a Mediterranean Cohort: Results from the Shock-CAT Study

ESC Heart FailPublished Prospective cohort study

Main finding · In-hospital mortalityResult — go to the resultOdds ratio 2.24

Authors' conclusion

In our cohort, AMI-CS mortality was increased by two-fold when compared with non-AMI-CS. IABP-SHOCK II score provides better 90 day mortality risk prediction than CardShock score in AMI-CS, but both scores performed similar in non-AMI-CS patients.

Study context

Population
Non-selected consecutive cardiogenic shock (CS) patients, Catalonia, December 2018 to November 2019
Participants
382 patients
Exposure
Acute myocardial infarction (AMI)-related CS vs non-AMI CS
  • AMI-CSn = 232
  • non-AMI-CSn = 150reference
Outcome
In-hospital mortality
Methodological detailsmulticentre, observational, 8 university hospitals in Catalonia
  • Multicentre
  • Observational
  • 8 university hospitals in Catalonia

Main finding

As reported in the abstract

Odds ratio

2.24

P = 0.019

By group

AMI-CS

37.1

%

non-AMI-CS

26.7%

Observational data: associations, not effects.

Further findings

MCS use

P < 0.001

OutcomeAUCP value
Prediction of 90-day mortality, IABP-SHOCK II vs CardShock score, in AMI-CS0.74 vs. 0.66P = 0.047
Prediction of 90-day mortality, IABP-SHOCK II vs CardShock score, in non-AMI-CS0.64 vs. 0.62P = 0.693

Original publication

Cardiogenic Shock Mortality According to Aetiology in a Mediterranean Cohort: Results from the Shock-CAT Study. ESC Heart Fail. Published 25 November 2024. doi:10.1002/ehf2.15148

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