• Login
    View Item 
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Concomitant Sepsis Diagnoses in Acute Myocardial Infarction-Cardiogenic Shock: 15-Year National Temporal Trends, Management, and Outcomes.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Author
    Jentzer, Jacob C
    Bhat, Anusha G
    Patlolla, Sri Harsha
    Sinha, Shashank S
    Miller, P Elliott
    Lawler, Patrick R
    van Diepen, Sean
    Khanna, Ashish K
    Zhao, David X
    Vallabhajosyula, Saraschandra
    Date
    2022-02-04
    Journal
    Critical Care Explorations
    Publisher
    Wolters Kluwer Health
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1097/CCE.0000000000000637
    http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8820909/
    Abstract
    Outcomes of interest included inhospital mortality, development of noncardiac organ failure, complications, utilization of guideline-directed procedures, length of stay, and hospitalization costs. Over 15 years, 444,253 AMI-CS admissions were identified, of which 27,057 (6%) included sepsis. The sepsis cohort had more comorbidities and had higher rates of noncardiac multiple organ failure (92% vs 69%) (all p < 0.001). In 2014, compared with 2000, the prevalence of sepsis increased from 0.5% versus 11.5% with an adjusted odds ratio (aOR) 11.71 (95% CI, 9.7-14.0) in ST-segment elevation myocardial infarction and 24.6 (CI, 16.4-36.7) (all p < 0.001) in non-ST segment elevation myocardial infarction. The sepsis cohort received fewer cardiac interventions (coronary angiography [65% vs 68%], percutaneous coronary intervention [43% vs 48%]) and had greater use of mechanical circulatory support (48% vs 45%) and noncardiac support (invasive mechanical ventilation [65% vs 41%] and acute hemodialysis [12% vs 3%]) (p < 0.001). The sepsis cohort had higher inhospital mortality (44.3% vs 38.1%; aOR, 1.21; 95% CI, 1.18-1.25; p < 0.001), longer length of stay (14.0 d [7-24 d] vs 7.0 d [3-12 d]), greater hospitalization costs (×1,000 U.S. dollars) ($176.0 [$85-$331] vs $77.0 [$36-$147]), fewer discharges to home (22% vs 44%) and more discharges to skilled nursing facilities (51% vs 28%) (all p < 0.001).
    Rights/Terms
    Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.
    Keyword
    acute myocardial infarction
    cardiogenic shock
    circulatory shock
    critical care cardiology
    sepsis
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17976
    ae974a485f413a2113503eed53cd6c53
    10.1097/CCE.0000000000000637
    Scopus Count
    Collections
    UMB Open Access Articles

    entitlement

    Related articles

    • Impact of concomitant respiratory infections in the management and outcomes acute myocardial infarction-cardiogenic shock.
    • Authors: Patlolla SH, Sundaragiri PR, Cheungpasitporn W, Doshi R, Vallabhajosyula S
    • Issue date: 2021 Sep-Oct
    • Influence of Body Mass Index on the Management and Outcomes of Acute Myocardial Infarction-Cardiogenic Shock in the United States, 2008-2017.
    • Authors: Patlolla SH, Ponamgi SP, Sundaragiri PR, Cheungpasitporn W, Doshi RP, Alla VM, Nicholson WJ, Jaber WA, Vallabhajosyula S
    • Issue date: 2022 Mar
    • Acute Noncardiac Organ Failure in Acute Myocardial Infarction With Cardiogenic Shock.
    • Authors: Vallabhajosyula S, Dunlay SM, Prasad A, Kashani K, Sakhuja A, Gersh BJ, Jaffe AS, Holmes DR Jr, Barsness GW
    • Issue date: 2019 Apr 16
    • Racial and ethnic disparities in the management and outcomes of cardiogenic shock complicating acute myocardial infarction.
    • Authors: Patlolla SH, Shankar A, Sundaragiri PR, Cheungpasitporn W, Doshi RP, Vallabhajosyula S
    • Issue date: 2022 Jan
    • Pulmonary artery catheter use in acute myocardial infarction-cardiogenic shock.
    • Authors: Vallabhajosyula S, Shankar A, Patlolla SH, Prasad A, Bell MR, Jentzer JC, Arora S, Vallabhajosyula S, Gersh BJ, Jaffe AS, Holmes DR Jr, Dunlay SM, Barsness GW
    • Issue date: 2020 Jun
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.