Letter/Communication
International cooperation in cardiogenic shock is key to improving outcomes: Cardiogenic Shock Working Group impacts a single center in a developing country
The Journal of heart and lung transplantation, v 44(7), pp 1165-1171
20 Mar 2025
PMID: 40121001
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Cardiogenic Shock Working Group (CSWG) is an international research consortium formed in 2016. The National Institute of Cardiology Ignacio Chavez joined in 2021 and launched a cardiogenic shock (CS) program in 2022. This study evaluates the impact of CSWG core standards on outcomes in a middle-income country reference center of 9,430 patients with CS (SCAI stages B→E) from a registry of 28,054 admissions (2005-2023). Using multivariate Cox regression and propensity score matching, outcomes were compared between historic pre-CSWG (2005-2021) and contemporary pre-CSWG (2017-2021) eras versus the CSWG era (2022-2023). Adoption of CS-team standards increased the use of pulmonary artery catheters (4.2%, 4% versus 7.9%, P<0.001) and mechanical circulatory support devices (8.1% to 10.3%, P=0.014) only in the legacy era. Reducing mortality from 22.3% and 20.5% versus 15.3% (P<0.001). The adjusted hazard ratio for mortality in the pre-CSWG era was 1.22 (P=0.015) for the historical cohort and 1.20 (P=0.047) for the contemporary cohort. CS-international collaboration enhanced outcomes through standardized protocols, advanced interventions, and dedicated CS teams, underscoring the importance of international cooperation in CS care.
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Details
- Title
- International cooperation in cardiogenic shock is key to improving outcomes: Cardiogenic Shock Working Group impacts a single center in a developing country
- Creators
- Jorge A Ortega-Hernández (Corresponding Author) - Instituto Nacional de CardiologíaHéctor González-Pacheco - Instituto Nacional de CardiologíaJaime Hernandez-Montfort - Baylor Scott & White HealthDiego Araiza-Garaygordobil - Instituto Nacional de CardiologíaDaniel Manzur-Sandoval - Instituto Nacional de CardiologíaRodrigo Gopar-Nieto - Instituto Nacional de CardiologíaDaniel Sierra-Lara-Martínez - Instituto Nacional de CardiologíaManreet Kanwar - Allegheny Health NetworkShashank S Sinha - Inova Design SolutionsA Reshad Garan - Beth Israel Deaconess Medical CenterDaniel Burkhoff - Cardiovascular Research FoundationJacob Abraham - Providence CollegeNavin K Kapur - Tufts Medical CenterAlexandra Arias-Mendoza - Instituto Nacional de Cardiología
- Publication Details
- The Journal of heart and lung transplantation, v 44(7), pp 1165-1171
- Publisher
- Elsevier
- Number of pages
- 7
- Resource Type
- Letter/Communication
- Language
- English
- Academic Unit
- Cardiology
- Web of Science ID
- WOS:001509158000022
- Scopus ID
- 2-s2.0-105002138441
- Other Identifier
- 991022042269104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery
- Transplantation