The Short-Term Prognosis of Cardiogenic Shock Can Be Determined Using Hemodynamic Variables

• DOI: 10.1097/ccm.0b013e3182982ac3
• Publication Date: 2013-08-10T13:31:55Z
• Authors: Fabio Rigamonti; Guillaume Graf; Paolo Merlani; Karim Bendjelid
• Keywords: Univariate analysis; Cardiac index; SAPS II; Mean arterial pressure

Objectives: Few reports address the relationship between hemodynamic variables and cardiogenic shock outcome in critically ill patients. The present study aimed to investigate association early mortality Design: Retrospective, single-center cohort study. Setting: Tertiary academic hospital's 36-bed multidisciplinary intensive care. Patients: Initial presentation with shock. Measurements Main Results: authors retrospectively analyzed medical information (recorded during first 24 hr following admission ICU) of patients For all patients, Simplified Acute Physiology Score II, cardiac index, power continuous values hours were reviewed. Mortality within 28 days was primary endpoint. All then compared survival nonsurvival status those a significant univariate analysis entered into multivariate logistic regression model. Seventy-one included. Among them, 26 (37%) died after ICU classified as "nonsurvivors." minimum value for diastolic arterial blood pressure independently associated 28-day analyses This model performed better than using even when assessing effect inotrope vasoactive treatments at 24, 48, 72 hours. Conclusions: In an admission, variable that