Hemodynamics, fluids & transfusion

The management of heart failure cardiogenic shock: an international RAND appropriateness panel

Crit CarePublished Expert consensus study

Study context

Population
Heart failure related cardiogenic shock (HF-CS), with focus on HF-CS due to acute decompensated chronic HF
Participants
16 international experts
Outcome
Appropriateness rating of each statement (scale 1–9: 1-3 inappropriate, 4-6 uncertain, 7-9 appropriate)
Methodological detailsmodified RAND/University of California, Los Angeles, appropriateness method, multi-disciplinary international panel, anonymous rating, 34-statement survey
  • Modified RAND/University of California, Los Angeles, appropriateness method
  • Multi-disciplinary international panel
  • Anonymous rating
  • 34-statement survey

Recommendations

As reported in the abstract

Appropriateness of 34 statements

Statements rated appropriate

20

Statements rated inappropriate

14

Further findings

Significant expert disagreement (disagreement index >1)

Only identified for utility of thoracic ultrasound in immediate management of HF-CS

Original publication

The management of heart failure cardiogenic shock: an international RAND appropriateness panel. Crit Care. Published 2 April 2024. doi:10.1186/s13054-024-04884-5

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