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
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
| Outcome | Shock team | Control | P value |
|---|---|---|---|
| Baseline CardShock scoreNot different | 5 (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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