Higher hospital volume is associated with lower mortality for patients with cardiogenic shock and mechanical circulatory support.

ABSTRACT:

Aims

Mortality for cardiogenic shock (CS) remains high. To improve outcomes, centralization of treatment in specialized centres, especially those with expertise in mechanical circulatory support (MCS), has been recommended. High-volume centres may be able to provide standardized, better care. We analysed associations between centre volume and outcomes in Germany, a large country with multiple types of CS centres.

Methods and results

Based on data from all CS patients treated in Germany from 2017-2021, the association between annual CS/MCS hospital volume and in-hospital mortality was assessed using adjusted Cox-regression, and spline plots were used to assess case thresholds. Overall, 220 223 CS patients underwent treatment at 1232 hospitals; 435/1232 (35%) of these performe

SUBMITTER: Dettling A 

PROVIDER: S-EPMC12766554 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature