Browsing by Subject "Shock, Cardiogenic"
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Item Single-Center Analysis of Cardiogenic Shock Outcomes in the Cardiac ICU and Non-Cardiovascular ICU Setting(2023-12) Chenamsetty, Maneesha R.; Millar, J. Cameron; Ortega, SterlingCardiogenic shock (CS) is a complicated condition characterized by reduced cardiac output. Treatment methods for CS depend on the etiology and severity of CS. Despite the advanced treatment options CS still has a high mortality rate. In this project, we investigated the effect of intensive care unit (ICU) type on patients' CS clinical outcomes. A total of 133 patients were included from 2021-2023 admissions at Baylor University Medical Center (BUMC) hospital. The in-hospital mortality rate was higher in the non-cardiovascular ICU (NCICU) (48%) when compared to the cardiac ICU (CICU) (28%), and the difference was statistically significant (p<0.001). Patients admitted into the NCICU have highly unfavorable discharge locations (p= 0.03). The median duration of days spent in the CICU is significantly longer (p<0.001). These results may not conclude the effect of ICU type on outcomes, but it does influence the CS clinical outcomes.Item Single-Center Analysis of the Off-Hour Effect in Cardiogenic Shock Outcomes(2022-12) Harrison, Caroline R.; Berg, Rance E.; Ortega, SterlingThe off-hours effect is a phenomenon where patients admitted during nights and weekends have poorer outcomes than those admitted during weekdays. This observation is often more pronounced in emergent conditions such as cardiogenic shock. Few studies have investigated the presence of an off-hour effect in patients with cardiogenic shock. In my thesis project, I explored the existence of an off-hour effect in 155 cardiogenic shock cases at a major urban hospital by evaluating patient outcomes. Patients admitted during off-hours had higher complication rates (OR=2.66, 95% CI, 1.29 to 5.49; p=0.01). I also found that patients admitted during on-hours waited longer to receive mechanical circulatory support devices after being admitted; however, this did not appear to negatively effect on-hour patient outcomes. While it appears that admission time does influence patient outcomes, the underlying cause for this effect is not yet understood.