Osman M, Syed M, Patibandla S, et al. - Cardiogenic shock (CS) hospitalizations tripled from January 2004 to December 2018, but there has been a slow decline in CS in‐hospital mortality during the study period.

• CS was responsible for 1,254,358 (0.2%) of 563,949,644 hospitalizations between January 1, 2004 and December 30, 2018.

• The number of hospitalizations attributed to CS has steadily increased from 122 per 100,000 hospitalizations in 2004 to 408 per 100,000 hospitalizations in 2018.

• This was associated with a steady decline in the adjusted trends of in-hospital mortality in the overall population, in patients with acute myocardial infarction CS, and in patients with non–acute myocardial infarction CS during the study period.

• Women, men, different racial/ethnic groups, different US regions, and different hospital sizes all showed consistent trends of lower mortality, regardless of hospital teaching status.