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Effect of pulmonary artery catheterization in patients with nonischemic cardiogenic shock: a nationwide analysis

dc.contributor.authorDiaz Arocutipa, Carlos
dc.contributor.authorMoreno Muñoz, Guillermo
dc.contributor.authorGalán Gil, David
dc.contributor.authorNieto, Sara
dc.contributor.authorRomo, Martín
dc.contributor.authorVicent, Lourdes
dc.date.accessioned2024-12-13T18:50:14Z
dc.date.available2024-12-13T18:50:14Z
dc.date.issued2024-08-01
dc.description(CM20/00104 y JR22/00004)
dc.description.abstractBackground: Pulmonary artery catheterization (PAC) has been widely used in critically ill patients, yielding mixed results. Prior studies on cardiogenic shock (CS) predominantly included patients with acute myocardial infarction. This study aims to examine the effect of PAC use in patients with nonischemic CS. Methods: This retrospective cohort study employed data from the National Inpatient Sample database, including weighted hospitalizations of adult patients with nonischemic CS during 2017 to 2019. In-hospital outcomes were compared between groups using inverse probability of treatment weighting. Results: A total of 303,970 patients with nonischemic CS were included, of whom 17.5% received a PAC during their hospitalization. The median age was 67 years (interquartile range: 57-77) and 61% were male. After inverse probability of treatment weighting, patients in the PAC group had significantly lower in-hospital mortality (24.8% vs. 35.3%, P < 0.001), renal replacement therapy (10.7% vs. 12.4%, P = 0.002), in-hospital cardiac arrest (7.1% vs. 9.6%, P < 0.001), and mechanical ventilation (44.6% vs. 50.4%, P < 0.001) compared to non-PAC group. In contrast, the PAC group had higher use of intra-aortic balloon pump (15.4% vs. 3.4%, P < 0.001), percutaneous ventricular assist devices (12.6% vs. 2.6%, P < 0.001), extracorporeal membrane oxygenation (3.9% vs. 2.5%, P < 0.001), and heart transplantation (2.1% vs. 0.4%, P < 0.001). Conclusion: In the real-world setting, invasive hemodynamic monitoring with PAC in patients with nonischemic CS is associated with survival benefits and a reduction in adverse events, including reduced need for renal replacement therapy, mechanical ventilation and risk of in-hospital cardiac arrest.
dc.description.departmentDepto. de Enfermería
dc.description.facultyFac. de Enfermería, Fisioterapia y Podología
dc.description.refereedTRUE
dc.description.sponsorshipInstituto de Salud Carlos III
dc.description.statuspub
dc.identifier.citationDiaz-Arocutipa C, Moreno G, Gil DG, Nieto S, Romo M, Vicent L. EFFECT OF PULMONARY ARTERY CATHETERIZATION IN PATIENTS WITH NONISCHEMIC CARDIOGENIC SHOCK: A NATIONWIDE ANALYSIS. Shock. 2024;62(2):186-92.
dc.identifier.doi10.1097/shk.0000000000002371
dc.identifier.issn1073-2322
dc.identifier.officialurlhttps://doi.org/10.1097/SHK.0000000000002371
dc.identifier.urihttps://hdl.handle.net/20.500.14352/112626
dc.issue.number2
dc.journal.titleShock
dc.language.isoeng
dc.page.final192
dc.page.initial186
dc.publisherWolters Kluwer
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsrestricted access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.cdu612.17
dc.subject.keywordPulmonary artery catheterization
dc.subject.keywordmortality
dc.subject.keywordcardiogenic shock
dc.subject.ucmCardiología
dc.subject.unesco3205.01 Cardiología
dc.titleEffect of pulmonary artery catheterization in patients with nonischemic cardiogenic shock: a nationwide analysis
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number62
dspace.entity.typePublication
relation.isAuthorOfPublication907be5df-d04d-42bd-9427-258b71326fb6
relation.isAuthorOfPublication.latestForDiscovery907be5df-d04d-42bd-9427-258b71326fb6

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