Hemodynamics, fluids & transfusion

Sex disparities in cardiogenic shock: Insights from the FRENSHOCK registry

J Crit CarePublished Prospective registry cohort study

Authors' conclusion

Despite some more favorable parameters in initial presentation and no significant difference in medication and support, women shared similar poor prognosis than men.

Study context

Population
Patients with cardiogenic shock admitted to 49 French Intensive Care Units (ICUs) and Intensive Cardiac Care Units, April–October 2016
Participants
772 patients
Exposure
Women vs men
  • Womenn = 220
Outcome
Thirty-day mortality
Follow-up
30 days
Methodological detailsmulticentre registry
  • Multicentre registry

Main finding

As reported in the abstract

Thirty-day mortality, transplant or permanent assist device similar in both sexes

26.4 vs 26.5%

Observational data: associations, not effects.

Further findings

History of ischemic cardiac disease

Cardiac arrest at admission

Mottling at admission

Ischemia as trigger

Coronary angiogram

PCI

LVEF at admission

History of ischemic cardiac disease

Women older and less often smokers

Ischemia as trigger

Most frequent trigger irrespective of sex

Pathway, medication and organ support

Women more often managed via ED; men directly admitted to ICU/Intensive Cardiac Care Units (ICCU)
No major difference in medication and organ support

Original publication

Sex disparities in cardiogenic shock: Insights from the FRENSHOCK registry. J Crit Care. Published 16 March 2024. doi:10.1016/j.jcrc.2024.154785

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.