Acute cardiac care & resuscitation
Shock Stages in Cardiac Surgical Patients: Implications for Post-Cardiotomy Shock and Mortality
Authors' conclusion
CS-SCAI facilitates risk prognostication prior to and following cardiac surgery. Transitions of stage are associated with a spectrum of high mortality and could be used to better define post-cardiotomy shock.
Study context
- Population
- Adult cardiac surgical patients in the Society of Thoracic Surgeons adult cardiac surgery database, January 2015 to December 2019patients included
- Participants
- 1,164,015 patients
- Exposure
- CS-SCAI stages applied at various time points and correlated with survival
- Outcome
- Preoperative stage distribution and 30-day mortality
- Follow-up
- 30-day
Main finding
As reported in the abstract
30-day
| Group | Value | Preoperative share |
|---|---|---|
| CS-SCAI A | 1.2% | 35.9% |
| CS-SCAI B | 2.12% | 54.9% |
| CS-SCAI C | 9.84% | 8.3% |
| CS-SCAI D | 17.06% | 0.7% |
| CS-SCAI E | 42.1% | 0.2% |
Value
CS-SCAI A1.2%
CS-SCAI B2.12%
CS-SCAI C9.84%
CS-SCAI D17.06%
CS-SCAI E42.1%
Preoperative share
CS-SCAI A35.9%
CS-SCAI B54.9%
CS-SCAI C8.3%
CS-SCAI D0.7%
CS-SCAI E0.2%
Observational data: associations, not effects.
Further findings
Predictors of mortality
- In the preoperative and postoperative setting, CS-SCAI stage was the strongest predictor of mortality
Transition to worsened CS-SCAI stage postoperatively · 30-day
- Patients with transition to worsened stage
- 6,508
- 30-day mortality among those patients
- 51.6%
Predictors of stage transition
- Strongest predictors: cardiopulmonary bypass time, preoperative CS-SCAI stage, and aortic cross clamp time
Original publication
Shock Stages in Cardiac Surgical Patients: Implications for Post-Cardiotomy Shock and Mortality. JACC Adv. Published 10 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →