Cardiogenic shock and cardiac arrest complicating ST-segment elevation myocardial infarction in the United States, 2000–2017

There are limited data on the outcomes of cardiogenic shock (CS) and cardiac arrest (CA) complicating ST-segment-elevation myocardial infarction (STEMI). Adult (>18 years) STEMI admissions were identified using the National Inpatient Sample (2000–2017) and classified as CS + CA, CS only, CA only...

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Bibliographic Details
Published in:Resuscitation 2020-10, Vol.155, p.55-64
Main Authors: Vallabhajosyula, Saraschandra, Dunlay, Shannon M., Prasad, Abhiram, Sangaralingham, Lindsey R., Kashani, Kianoush, Shah, Nilay D., Jentzer, Jacob C.
Format: Article
Language:English
Subjects:
Acute cardiovascular care
Cardiac arrest
Cardiogenic shock
Outcomes research
ST-segment elevation myocardial infarction
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Summary:There are limited data on the outcomes of cardiogenic shock (CS) and cardiac arrest (CA) complicating ST-segment-elevation myocardial infarction (STEMI). Adult (>18 years) STEMI admissions were identified using the National Inpatient Sample (2000–2017) and classified as CS + CA, CS only, CA only and no CS/CA. Outcomes of interest included temporal trends, in-hospital mortality, hospitalization costs, use of do-not-resuscitate (DNR) status and palliative care referrals across the four cohorts. Of the 4,320,117 STEMI admissions, CS, CA and both were noted in 5.8%, 6.2% and 2.7%, respectively. In 2017, compared to 2000, there was an increase in CA (adjusted odds ratio [aOR] 1.83 [95% confidence interval {CI} 1.79–1.86]), CS (aOR 3.92 [95% CI 3.84–4.01]) and both (aOR 4.09 [95% CI 3.94–4.24]) (all p 
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2020.07.022