Hemodynamics, fluids & transfusion
Comparison of the prognosis among in-hospital survivors of cardiogenic shock based on etiology: Acute myocardial infarction (AMI) and Non-AMI
Main finding · All-cause mortalityResult — go to the resultAdjusted hazard ratio 0.69 95% CI 0.60–0.78Authors' conclusion
In-hospital AMI-CS survivors had an increased risk of CV rehospitalization and 30-day mortality, whereas those with non-AMI-CS had a greater mortality risk after 1-year follow-up.
Study context
- Population
- In-hospital survivors of cardiogenic shock, Taiwan National Health Insurance Research Database42.4% AMI-CS, 57.6% non-AMI-CS
- Participants
- 16,582 survivors
- Exposure
- Non-AMI-CS vs AMI-CS in-hospital survivors
- Outcome
- All-cause mortality
Methodological detailsnationwide database, multivariable Cox regression
- Nationwide database
- Multivariable Cox regression
Main finding
As reported in the abstract
Adjusted hazard ratio
0.69
95% CI 0.60–0.78
non-AMI-CS vs AMI-CS
aHR 0.69 (95% CI 0.60–0.78)
Observational data: associations, not effects.
Further findings
| Outcome | aHR (95% CI) | |
|---|---|---|
| CV mortality | 0.65 (0.54–0.78) | |
| All-cause mortality after 1 year · after one year | 1.13 (1.03–1.25) | |
| CV mortality after 1 year · after one year | 1.27 (1.09–1.49) | |
| CV rehospitalization, entire observation period | 0.80 (0.76–0.84) | |
| 0.512Adjusted hazard ratio (log scale) |
Overall mortality and rehospitalization, all cardiogenic shock (CS) survivors
- Mortality at 30 days
- 7.0%
- Rehospitalization at 30 days
- 22.1%
- Mortality at 1 year
- 24.5%
- Rehospitalization at 1 year
- 58.2%
- Mortality at 3 years
- 38.9%
- Rehospitalization at 3 years
- 73.0%
Cardiovascular (CV) rehospitalization, entire observation period
- Reversal not observed in all-cause and CV rehospitalization
Original publication
Comparison of the prognosis among in-hospital survivors of cardiogenic shock based on etiology: AMI and Non-AMI. Ann Intensive Care. Published 12 May 2024. doi:10.
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