Researchers have found six variables that are linked to higher risk of short-term mortality in patients with cardiogenic shock, reports Physician’s Briefing.
The researchers found that age >73 years, prior stroke, glucose at admission >10.6 mmol/L, creatinine at admission >132.6 µmol/L, Thrombolysis In Myocardial Infarction flow grade <3 after percutaneous coronary intervention, and arterial blood lactate at admissions >5 mmol/L were independent predictors of 30-day mortality and were used as parameters.
The observed 30-day mortality rates for low, intermediate, and high risk score categories were 23.8, 49.2, and 76.6 percent, respectively (P < 0.0001).
Good discrimination was seen on validation in the IABP-SHOCK II registry, with an area under the curve of 0.79. In the CardShock trial external validation population, short-term mortality rates were 28.0, 42.9, and 77.3 percent, respectively (P < 0.001), with an area under the curve of 0.73.
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