Hemodynamics, fluids & transfusion
Mottling as a prognosis marker in cardiogenic shock
Authors' conclusion
Skin mottling at admission in patients with cardiogenic shock was statistically associated with prolonged length of stay and poor outcomes.
Study context
- Population
- Patients admitted for cardiogenic shock of all etiologies, French critical care units, April–October 2016 (FRENSHOCK)660 assessed for mottling
- Participants
- 772 patients
- Exposure
- Skin mottling vs no mottling at admission
- Outcome
- Mortality
- Follow-up
- 30 days and 1 year
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
30-day mortality, mottling vs no mottling
31% vs. 23.3%
p = 0.031
1-year mortality, mottling vs no mottling
54% vs. 42%
p = 0.003
Observational data: associations, not effects.
Further findings
Need for invasive respiratory support
P < 0.001
Need for RRT
P = 0.09
LOS
P = 0.033
Need for mechanical circulatory support
- Similar in both groups
30-day prognosis, mottling appearing within first 24 h (subgroup)
- Worst prognosis at 30 days
Original publication
Mottling as a prognosis marker in cardiogenic shock. Ann Intensive Care. Published 6 September 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →