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Cardiogenic shock during heart failure hospitalizations: Age, sex, and race stratified trends in incidence and outcomes

American Heart Journal Apr 18, 2019

Yandrapalli S, et al. - Via this retrospective observational analysis of the National Inpatient Sample (2005–2014), researchers determined the incidence of cardiogenic shock (CS) during heart failure hospitalizations (HFHs) not complicated by acute coronary syndromes (ACS); they looked for overall and age, sex, and race-stratified incidence of CS. They also focused on the use of short-term mechanical circulatory support (MCS) and in-hospital mortality, as well as respective temporal trends. In the United States, an infrequent occurrence of non-ACS related CS was reported during HFHs, which was related to substantial mortality. Between 2005 and 2014, an increase in non-ACS related CS incidence and certain MCS utilization rates and decrease in in-hospital mortality rate was evident. Across the age, sex, and race groups, these trends were found to be generally homogenous. Possibly, increased identification of CS during HFHs was mirrored by the observed trends in incidence and mortality.
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