Lu DY, Adelsheimer A, Chan K, et al. - Researchers used the Nationwide Readmissions Database 2010-2014, to determine the influence of hospital transfer to hubs on results of patients with cardiogenic shock (CS). They analyzed CS hospitalizations, and classified centers receiving any interhospital transfers with CS in a given year as CS transfer “hubs”; those without transfers were categorized as “spokes.” This study included 3 cohorts: (A) direct admissions to spokes, (B) direct admissions to hubs, and (C) interhospital transfer to hubs. Among these cohorts, in-hospital mortality was compared. CS mortality was estimated to be 47.8% at spoke hospitals and was found to be lower at hub hospitals, both for directly admitted and transferred patients. While recognizing NRD’s limited ability to categorize CS severity on presentation, a significantly lower mortality in relation to treatment of CS at transfer hubs was observed in this large real-world population.