Overview
The Cardiogenic Shock Working Group is a multicenter registry where we collect de-identified clinical variables from the medical records and follow-up phone calls of shock patients from multiple institutions and centralize this data to a single registry for analysis of clinical outcomes.
Description
The Cardiogenic Shock Working Group is an Academic Research Consortium involving multiple medical centers within the United States and includes a multicenter registry for patients with cardiogenic shock. De-identified clinical variables are collected from medical records and follow-up phone calls. There is currently no central database for cardiogenic shock, therefore analysis of cardiogenic shock on a larger scale is limited. A goal of the Cardiogenic Shock Working Group is to create a centralized registry, compiled of data from multiple institutions, to analyze clinical outcomes. The Cardiogenic Shock Working Group Registry will include a retrospective arm, where data is collected during the course of the hospital stay, and a prospective arm, where long-term outcomes will be assessed.
Eligibility
Inclusion Criteria:
- Patients must have cardiogenic shock.
Cardiogenic shock is defined by at least one of the two categories below:
- At least 2 of the following concurrently at any point during the index
- hospitalization
-
- Cardiac Index < 2.2
- PAPI < 1.0
- Cardiac Power Output ≤ 0.6
- MAP < 60mmHg or a >30mmHg drop in MAP from baseline
- SBP < 90mmHg or a >30mmHg drop in SBP from baseline
- Pulse > 100
- Require at least one acute mechanical circulatory support device, vasopressor or
inotrope to maintain values above the above target.
Post-cardiotomy patients must meet the inclusion criteria 72 hours after their surgery to
be included in this registry.