RT Journal Article
T1 Differences on in-hospital outcomes in patients with cardiogenic shock due to STEMI vs NSTEMI using a nationwide database
A1 Diaz Arocutipa, Carlos
A1 Bueno Zamora, Héctor José
A1 Moreno Muñoz, Guillermo
A1 Juárez Olmos, Víctor
A1 Vicent, Lourdes
AB Background       Our study aims to compare in-hospital management and outcomes in patients with cardiogenic shock due to ST-segment elevation myocardial infarction (STEMI) vs. non-ST-segment elevation myocardial infarction (NSTEMI).    MethodsWe conducted a retrospective cohort study using the National Inpatient Sample database between 2016-2019, including patients with STEMI/NSTEMI complicated by cardiogenic shock. An inverse probability treatment weighting (IPTW) analysis was performed to compare in-hospital management and outcomes between patients with STEMI and NSTEMI. Adjusted relative risks (aRR) with their 95% confidence intervals (CI) were estimated.ResultsA total of 150,395 patients with cardiogenic shock due to acute myocardial infarction were included, of whom 52.8% had STEMI. The median age was 68 years (60 - 77) and 35% were female. Percutaneous coronary intervention (PCI), intra-aortic balloon counterpulsation, percutaneous ventricular assist device, extracorporeal membrane oxygenation and mechanical ventilation use were significantly higher in the STEMI group compared to NSTEMI. Coronary artery bypass grafting (CABG), renal replacement therapy, length of hospital stay, and total costs were lower in the STEMI group. Pulmonary arterial catheterization and cardiac transplantation were similar between both groups. IPTW analysis showed that in-hospital mortality was significantly higher in the STEMI group compared to NSTEMI (34.2% vs. 28.8%, aRR 1.19, 95% CI 1.14 - 1.23) and also major bleeding.ConclusionIn conclusion, patients with cardiogenic shock due to STEMI had worse prognosis, higher use of PCI/mechanical circulatory support and major bleeding than the NSTEMI group. In contrast, patients with NSTEMI had greater use of CABG and hospital resources.
PB Wolters Kluwer
SN 1073-2322
YR 2024
FD 2024-10-02
LK https://hdl.handle.net/20.500.14352/112756
UL https://hdl.handle.net/20.500.14352/112756
LA eng
NO Diaz-Arocutipa, Carlos, et al. «DIFFERENCES ON IN-HOSPITAL OUTCOMES IN PATIENTS WITH CARDIOGENIC SHOCK DUE TO STEMI VERSUS NSTEMI USING A NATIONWIDE DATABASE». Shock, vol. 63, n.o 1, enero de 2025, pp. 36-42. DOI.org (Crossref), https://doi.org/10.1097/SHK.0000000000002480.
NO (CM20/00104 y JR22/00004)
NO Instituto de Salud Carlos III (España)
DS Docta Complutense
RD 4 abr 2025