Hemodynamics, fluids & transfusion

Clinical outcomes of cardiogenic shock among critically ill patients admitted to intensive care units in Australia and New Zealand from 2003 to 2022

J Crit CarePublished Retrospective cohort study

Main finding · Hospital mortalityResult — go to the resultOdds ratio 0.49 95 % CI 0.38–0.64

Authors' conclusion

Over twenty years period, among patients with CS admitted to ICU, there has been a significant change in the epidemiological characteristics and a decrease in absolute and adjusted mortality rates.

Study context

Population
Patients admitted to ICU with cardiogenic shock (CS), Australia and New Zealand, 2003–2022
Exposure
2022 vs 2003
Outcome
Hospital mortality
Methodological detailsbi-national ICU database
  • Bi-national ICU database

Main finding

As reported in the abstract

Odds ratio

0.49

95 % CI 0.38–0.64

P < 0.001

By group

2022 vs 2003
OR 0.49 (95 % CI 0.38–0.64); P < 0.001

Observational data: associations, not effects.

Further findings

Severity of illness (APACHE III; ANZ Risk of Death Score)

APACHE III decreased from 80 to 72 (p < 0.001)
ANZ Risk of Death Score decreased from 0.34 to 0.30 (p < 0.001)

Admissions from ED

Increased from 32 % to 41 % (p < 0.001)

Original publication

Clinical outcomes of cardiogenic shock among critically ill patients admitted to intensive care units in Australia and New Zealand from 2003 to 2022. J Crit Care. Published 16 December 2024. doi:10.1016/j.jcrc.2024.155001

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