Acute cardiac care & resuscitation

Multidisciplinary cardiogenic shock team approach improves the long-term outcomes of patients suffering from refractory cardiogenic shock treated with short-term mechanical circulatory support

Eur Heart J Acute Cardiovasc CarePublished Before-and-after cohort study

Corrected 23 Oct 2026: Measure wording clarified; no values changed.

Authors' conclusion

A multidisciplinary shock team-based decision for STMCS device implantation in rCS is associated with better 1-year survival rates.

Study context

Population
Adults with refractory cardiogenic shock treated with short-term mechanical circulatory support; post-cardiotomy refractory cardiogenic shock (rCS) excluded
Participants
250 adults
Exposure
Multidisciplinary shock team vs pre-shock-team decision-making for short-term mechanical circulatory support (STMCS)
  • Shock teamn = 166
  • Controln = 84reference
Outcome
Survival rate
Follow-up
1 year
Methodological detailsconsecutive patients, 156-month period
  • Consecutive patients
  • 156-month period

Main finding

1-year survival

Hazard ratio

0.592

95% CI 0.398–0.880, event not clearly stated

P = 0.010

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeShock teamControlP value
Baseline CardShock scoreNot different5 (range 4–6)5 (range 3–5)P = 0.323

Original publication

Multidisciplinary cardiogenic shock team approach improves the long-term outcomes of patients suffering from refractory cardiogenic shock treated with short-term mechanical circulatory support. Eur Heart J Acute Cardiovasc Care. Published 15 September 2023. doi:10.1093/ehjacc/zuad108

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