ICU sedation, delirium & recovery
Mental health sequelae and management in survivors of cardiogenic shock: a nationwide population-based study
Main finding · Primary composite endpointResult — go to the resultAdjusted hazard ratio 1.08 95% CI 1.04–1.13Authors' conclusion
New-onset mental disorders are common and prognostically significant in survivors of CS.
Study context
- Population
- Adults admitted to intensive care units (ICUs) for cardiogenic shock (CS) 2012–2022 who survived hospital discharge, without pre-existing psychiatric diagnoses, Koreamedian follow-up 3.5 years
- Participants
- 112,297 adults
- Exposure
- New-onset mental disorders vs No mental disorder
- New-onset mental disordersn = 11,166
- Outcome
- Composite of:
- All-cause death
- MI
- Stroke
- Coronary revascularization
- HF hospitalization
Methodological detailsKorean National Health Insurance Service database, time-varying exposure
- Korean National Health Insurance Service database
- Time-varying exposure
Main finding
Primary composite endpoint
Adjusted hazard ratio
1.08
95% CI 1.04–1.13
Events by group
New-onset mental disorders
9.9%
11,166
New-onset mental disorders vs No mental disorder
aHR 1.08 (95% CI 1.04–1.13)
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | aHR (95% CI) | |
|---|---|---|
| Primary composite endpoint, psychiatric medication initiation vs none (patients with mental disorders)44% reduction · medication as time-varying covariate | 0.56 (0.53–0.59) | |
| All-cause death, psychiatric medication initiation vs none (patients with mental disorders)49% reduction | 0.51 (0.48–0.55) | |
| 0.512Adjusted hazard ratio (log scale) |
Original publication
Mental health sequelae and management in survivors of cardiogenic shock: a nationwide population-based study. Crit Care. Published 20 January 2026. doi:10. 1186/ s13054-026-05841-0
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