Shock Teams: A Contemporary Review
- PMID: 37861851
- DOI: 10.1007/s11886-023-01983-7
Shock Teams: A Contemporary Review
Abstract
Purpose of review: Cardiogenic shock (CS) is a time-sensitive and often fatal condition. To address this issue, many centers have developed multidisciplinary shock teams with a common goal of expediting the recognition and treatment of CS. In this review, we examine the mission, structure, implementation, and outcomes reported by these early shock teams.
Recent findings: To date, there have been four observational shock team analyses, each providing unique insight into the utility of the shock team. The limited available data supports that shock teams are associated with improved CS mortality. However, there is considerable operational heterogeneity among shock teams, and randomized data assessing their value and best practices in both local and regional care models are needed.
Keywords: Cardiogenic shock; Cardiogenic shock outcomes; Shock team.
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
-
- Osman M, Syed M, Patibandla S, Sulaiman S, Kheiri B, Shah MK, et al. Fifteen‐year trends in incidence of cardiogenic shock hospitalization and in‐hospital mortality in the United States. J Am Heart Assoc [Internet]. 2021;10. Available from: https://www.ahajournals.org/doi/10.1161/JAHA.121.021061 .
-
- Berg DD, Bohula EA, van Diepen S, Katz JN, Alviar CL, Baird-Zars VM, et al. Epidemiology of shock in contemporary cardiac intensive care units. Circ Cardiovasc Qual Outcomes [Internet]. 2019;12. Available from: https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.119.005618 .
-
- Hochman JS, Sleeper LA, Webb JG, Sanborn TA, White HD, Talley JD, et al. Early revascularization in acute myocardial infarction complicated by cardiogenic shock. N Engl J Med [Internet]. 1999;341:625–34. Available from: http://www.nejm.org/doi/abs/10.1056/NEJM199908263410901 .
-
- Ouweneel DM, Eriksen E, Sjauw KD, van Dongen IM, Hirsch A, Packer EJS, et al. Percutaneous mechanical circulatory support versus intra-aortic balloon pump in cardiogenic shock after acute myocardial infarction. J Am Coll Cardiol [Internet]. 2017;69:278–87. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0735109716367675 .
-
- Thiele H, Zeymer U, Neumann F-J, Ferenc M, Olbrich H-G, Hausleiter J, et al. Intraaortic balloon support for myocardial infarction with cardiogenic shock. N Engl J Med [Internet]. 2012;367:1287–96. Available from: http://www.nejm.org/doi/10.1056/NEJMoa1208410 .
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Research Materials