Mental health sequelae in survivors of cardiogenic shock complicating myocardial infarction. A population-based cohort study
Authors' conclusion
Survivors of AMI-CS experience substantial mental health morbidity following discharge. Risk of new mental health diagnoses was comparable between survivors of AMI with and without shock.
Study context
- Population
- Critically ill adult (≥ 18 years) survivors of AMI-CS admitted to hospital in Ontario, Canada, April 1, 2009 to March 31, 2019135 centers
- Exposure
- AMI-CS survivors vs AMI survivors without shock
- AMI-CSn = 7,812
- Outcome
- New mental health diagnosis after hospital discharge (composite of mood, anxiety, or related disorders; schizophrenia/psychotic disorders; other mental health disorders)
Methodological detailspopulation-based, overlap propensity score-weighted
- Population-based
- Overlap propensity score-weighted
Main finding
As reported in the abstract
Hazard ratio
0.99
95% CI 0.94–1.03
By group
AMI-CS
109.6
incidence · 95% CI 105.4–113.9 · per 1,000 person-years
AMI without shock
103.8
incidence · 95% CI 102.5–105.2 · per 1000 person-years
AMI-CS vs AMI without shock
HR 0.99 (95% CI 0.94–1.03)
Observational data: associations, not effects.
Further findings
Factors associated with new mental health diagnoses after AMI-CS
- Female sex, pre-existing mental health diagnoses, and discharge to a long-term hospital or rehabilitation institute
Original publication
Mental health sequelae in survivors of cardiogenic shock complicating myocardial infarction. A population-based cohort study. Intensive Care Med. Published 2 May 2024. doi:10.
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