A Standardized and Regionalized Network of Care for Cardiogenic Shock.

ABSTRACT:

Background

The benefits of standardized care for cardiogenic shock (CS) across regional care networks are poorly understood.

Objectives

The authors compared the management and outcomes of CS patients initially presenting to hub versus spoke hospitals within a regional care network.

Methods

The authors stratified consecutive patients enrolled in their CS registry (January 2017 to December 2019) by presentation to a spoke versus the hub hospital. The primary endpoint was 30-day mortality. Secondary endpoints included bleeding, stroke, or major adverse cardiovascular and cerebrovascular events.

Results

Of 520 CS patients, 286 (55%) initially presented to 34 spoke hospitals. No difference in mean age (62 years vs 61 years; P = 0.38), sex (25% vs 32% women; P = 0.10

SUBMITTER: Tehrani BN 

PROVIDER: S-EPMC10404382 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature