Acute cardiac care & resuscitation

Systematic Assessment of Shock Severity in Postoperative Cardiac Surgery Patients

J Am Coll CardiolPublished Retrospective cohort study

Main finding · Hospital mortality (crude)Result — go to the resultAdjusted odds ratio 1.26-16.59

Authors' conclusion

The SCAI shock classification effectively risk-stratifies postoperative CSICU patients for mortality, postoperative complications, and organ dysfunction.

Study context

Population
Postoperative cardiac surgery ICU (cardiac surgery intensive care unit (CSICU)) admissions at a heart center, 2012–2022
Participants
26,792 CSICU admissions
Exposure
Society for Cardiovascular Angiography and Interventions (SCAI) shock stages A to E
Outcome
Hospital mortality
Methodological detailssingle-centre
  • Single-centre

Main finding

Hospital mortality (crude)

Adjusted odds ratio

1.26-16.59

By group

As reported in the abstract

SCAI shock classification AUC for hospital mortality
0.84
SCAI shock classification + late deterioration AUC for hospital mortality
0.90

Observational data: associations, not effects.

Further findings

OutcomeAdjusted OR
Late deterioration (LD) and hospital mortality8.2

Postoperative complications and organ dysfunction

Prevalence increased across SCAI shock stages

Original publication

Systematic Assessment of Shock Severity in Postoperative Cardiac Surgery Patients. J Am Coll Cardiol. Published 24 October 2023. doi:10.1016/j.jacc.2023.08.031

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

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