Acute cardiac care & resuscitation

Outcomes of patients with cancer admitted with heart failure–associated cardiogenic shock

Eur Heart J Acute Cardiovasc CarePublished Propensity score matching (PSM) analysis of the National Readmission Database

Authors' conclusion

Among patients admitted for HF-CS, patients with cancer are at increased risk of in-hospital death, thrombotic complications, and major bleeding compared with patients without cancer. Future studies are needed to guide nuanced evaluation and management of this population to improve outcomes.

Study context

Population
Adult patients admitted for heart failure (HF)-related cardiogenic shock (HF-CS) between 2014 and 2020admissions for HF-CS, 7306 (5.3%) had active cancer
Participants
137,316 admissions
Exposure
Patients admitted for HF-related cardiogenic shock (HF-CS) with cancer vs. without cancer
  • Patients with cancern = 7,306
Outcome
In-hospital death, major bleeding, and thrombotic complications
Follow-up
In-hospital
Methodological details1 patient with cancer matched to 10 patients without cancer
  • 1 patient with cancer matched to 10 patients without cancer

Main finding

As reported in the abstract

patients with cancer vs patients without cancerOdds ratio (95% CI)
In-hospital death
1.12(1.06–1.18)
Thrombotic complications
1.12(1.03–1.21)
Major bleeding
1.23(1.17–1.31)

Observational data: associations, not effects.

Further findings

OutcomePatients with cancerPatients without cancer
Temporal trends in in-hospital mortality, 2014 to 2020Ptrend = 0.43 no significant changePtrend < 0.001 decreased mortality over time

90-day readmission rates among patients who survived initial hospitalization (exploratory)

Rates of readmission were similar for patients with and without cancer

Original publication

Outcomes of patients with cancer admitted with heart failure–associated cardiogenic shock. Eur Heart J Acute Cardiovasc Care. Published 24 February 2025. doi:10.1093/ehjacc/zuaf027

Composed by AI from the published abstract and checked against it. How Briefs are made →

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