Acute cardiac care & resuscitationCohort study
Palliative and End-of-Life Care Utilization in Cardiogenic Shock Complicating Acute Myocardial Infarction
- population-based, retrospective cohort
Authors' conclusion
Early and intermediate term palliative care involvement was associated with reduced risk of death in hospital and ICU. Such consultation may improve end-of-life outcomes in AMI-CS survivors.
Study context
- Population
- AMI-CS survivors in Ontario, Canada, from 2009 to 2020 who died during longitudinal follow-upAMI-CS survivors (2009–2020) who died after discharge and before March 2024
- Participants
- 3,881 survivors
- Exposure
- Patients who did and did not receive palliative care; earlier palliative care referrals
- Received palliative caren = 2,485
Main finding
As reported in the abstract
Survival time
Median survival time
1,096 days (IQR: 312-2,139 days)
Observational data: associations, not effects.
Further findings
Death in ICU · more likely to die in ICU without palliative care
absolute standard difference 0.15
Dying in hospital and intensive care units (ICU) with earlier palliative care referrals
| Comparison | adjusted OR (95% CI) | |
|---|---|---|
| Earlier palliative care referrals · dying in hospital; reduced with earlier referral | 0.50 (0.42–0.65) | |
| Earlier palliative care referrals · dying in ICU; reduced with earlier referral | 0.34 (0.26–0.45) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Death in acute care
- Died in acute care
- 2,100 patients (54.1%)
- No difference between those who did and did not receive palliative care
Palliative care utilization in the final year of life
- Received palliative care
- n = 2,485, 64%
- Of those receiving palliative care: outpatient visits
- 1,057 patients (42.5%)
- Of those receiving palliative care: inpatient palliative care consultations
- 505 patients (20.3%)
- Of those receiving palliative care: palliative care hospitalizations
- 327 patients (13.2%)
- Of those receiving palliative care: initiated in the last 14 days of life
- 1,185 patients, 47.7%
Original publication
Palliative and End-of-Life Care Utilization in Cardiogenic Shock Complicating Acute Myocardial Infarction. JACC Adv. Published 11 June 2026. doi:10.1016/j.jacadv.2026.102869
Summarised from the published abstract; every number is checked against it