ArticleCirculation. Heart failure2020
Regional Variation in the Management and Outcomes of Acute Myocardial Infarction With Cardiogenic Shock in the United States.
Article in Circulation. Heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.
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Who cites it
52 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reporting of sex as a variable in cardiovascular studies using cultured cells: A systematic review.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2020Pooled it
- Trends and disparities in ischemic heart disease and cardiogenic shock mortality in the United States: A 25-year national analysis (1999-2024).American heart journal plus : cardiology research and practice · 2026Article
- Nationwide trends and disparities in deaths following cardiogenic shock and sepsis in the United States (1999-2023): insights from the CDC WONDER database.BMC cardiovascular disorders · 2025Article
- Review
- Trends in Mortality Among Adults With Acute Myocardial Infarction With Cardiogenic Shock in the United States, 1999-2023.Journal of the Society for Cardiovascular Angiography & Interventions · 2025Article
- Variation in coronary revascularisation and mortality after myocardial infarction across three public health insurance schemes in Thailand: an observational analysis from nationwide claims data.BMJ public health · 2025Article
- Clinical outcomes following shock team implementation for cardiogenic shock: a systematic review.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024Review
- The Price We Pay for Progression in Shock Care: Economic Burden, Accessibility, and Adoption of Shock-Teams and Mechanical Circulatory Support Devices.Current cardiology reports · 2024Review
- The incidence, predictors, and causes of cardiac arrest in United States emergency departments.Resuscitation plus · 2024Article
- Article
- Therapeutic role of extracellular vesicles from human umbilical cord mesenchymal stem cells and their wide therapeutic implications in inflammatory bowel disease and other inflammatory disorder.Frontiers in medicine · 2024Review
- Sex and gender differences in intensive care medicine.Intensive care medicine · 2023Review
- Regional Variation in Health Care Utilization Among Adults With Inadequate Cardiovascular Health in the USA.Cureus · 2023Article
- Hospitalization Duration for Acute Myocardial Infarction: A Temporal Analysis of 18-Year United States Data.Medicina (Kaunas, Lithuania) · 2022Article
- A Standardized and Regionalized Network of Care for Cardiogenic Shock.JACC. Heart failure · 2022Article
- County-level variation in cardioprotective antihyperglycemic prescribing among medicare beneficiaries.American journal of preventive cardiology · 2022Article
- Racial and Ethnic Disparities in the Trends and Outcomes of Cardiogenic Shock Complicating Peripartum Cardiomyopathy.JAMA network open · 2022Article
- Regional variations in the process of care for patients undergoing percutaneous coronary intervention in Japan.The Lancet regional health. Western Pacific · 2022Article
- Acute myocardial infarction in heart transplant recipients: An 18-year national study.American heart journal plus : cardiology research and practice · 2022Article
- Competition and Integration of US Health Systems in the Post-COVID-19 New Normal: Cross-sectional Survey.JMIR formative research · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundThere are few studies evaluating regional disparities in the care of acute myocardial infarction-cardiogenic shock (AMI-CS). METHODS AND
resultsUsing the National Inpatient Sample from 2000 to 2016, we identified adults with a primary diagnosis of AMI and concomitant CS admitted to the United States census regions of Northeast, Midwest, South, and West. Interhospital transfers were excluded. End points of interest included in-hospital mortality, use of coronary angiography, percutaneous coronary intervention, mechanical circulatory support, hospitalization costs, length of stay, and discharge disposition. Multivariable regression was used to adjust for potential confounding. Of the 402 825 AMI-CS admissions, 16.8%, 22.5%, 39.3%, and 21.4% were admitted to the Northeast, Midwest, South, and West, respectively. Higher rates of ST-elevation AMI-CS were noted in the Midwest and West. Admissions to the Northeast were on average characterized by a higher frequency of whites, Medicare beneficiaries, and lower rates of cardiac arrest. Admissions to the Northeast were less likely to receive coronary angiography, percutaneous coronary intervention, and mechanical circulatory support, despite the highest rates of extracorporeal membrane oxygenation use. Compared with the Northeast, in-hospital mortality was lower in the Midwest (adjusted odds ratio [aOR], 0.96 [95% CI, 0.93-0.98];
conclusionsThere remain significant regional disparities in the management and outcomes of AMI-CS.
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