Evidence map›Paper›PMID 41523931›Full record

ReviewCirculation reports2026

Defining a Cardiogenic Shock Center and Its Relationship to Outcomes Among Patients With Cardiogenic Shock - A Scoping Review.

Yusuke Okazaki, Jin Kirigaya, Takeshi Yamamoto, Toru Kondo, Akihito Tanaka, Takahiro Nakashima, Masahiro Yamamoto, Naoki Nakayama, Hiroyuki Hanada, Katsutaka Hashiba and 17 more

Abstract readReview
In one paragraph

Review in Circulation reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Yusuke OkazakiDepartment of Internal Medicine, Cardiology and Diabetology, Steel Memorial Muroran Hospital Hokkaido Japan.
Jin KirigayaDivision of Cardiology, Yokohama City University Medical Center Yokoyama Japan.
Takeshi YamamotoDivision of Cardiovascular Intensive Care, Nippon Medical School Hospital Tokyo Japan.
Toru KondoDepartment of Cardiology, Nagoya University Graduate School of Medicine Nagoya Japan.
Akihito TanakaDepartment of Cardiology, Nagoya University Graduate School of Medicine Nagoya Japan.
Takahiro NakashimaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Kumamoto Japan.
Masahiro YamamotoDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Kumamoto Japan.
Naoki NakayamaDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Kumamoto Japan.
Hiroyuki HanadaEmergency, Disaster and General Medicine, Hirosaki University Graduate School of Medicine Aomori Japan.
Katsutaka HashibaDepartment of Cardiology, Yokosuka General Medical Center Kanagawa Japan.
Tomoko IshizuDepartment of Cardiology, Institute of Medicine, University of Tsukuba Ibaraki Japan.
Yumiko HosoyaDepartment of Cardiology, Sakakibara Heart Institute Tokyo Japan.
Aya Katasako-YabumotoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Osaka Japan.
Takumi OsawaDepartment of Cardiology, Institute of Medicine, University of Tsukuba Ibaraki Japan.
Kazuo SakamotoDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Kumamoto Japan.
Marina AraiDepartment of Cardiovascular Medicine, Tohoku University Graduate School of Medicine Sendai Japan.
Teruo NoguchiDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Osaka Japan.
Yoshio TaharaDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center Osaka Japan.
Kunihiro MatsuoDepartment of Cardiology, Fukuoka Tokushukai Hospital Fukuoka Japan.
Junichi YamaguchiDepartment of Cardiology, Tokyo Women's Medical University Tokyo Japan.
Toshiaki ManoCardiovascular Center, Kansai Rosai Hospital Hyogo Japan.
Sunao KojimaDepartment of Internal Medicine, Sakura-jyuji Yatsushiro Rehabilitation Hospital Kumamoto Japan.
Toshikazu FunazakiKawaguchi Cupola Rehabilitation Hospital Saitama Japan.
Hiroshi NonogiPharmaceutical Sciences, University of Shizuoka Shizuoka Japan.
Migaku KikuchiDepartment of Cardiovascular Medicine, Emergency and Critical Care Center, Dokkyo Medical University Tochigi Japan.
Tetsuya MatobaDepartment of Cardiovascular Medicine, Kyushu University Graduate School of Medical Sciences Fukuoka Japan.
Japan Resuscitation Council (JRC) Emergency Cardiovascular Care (ECC) Acute Coronary Syndrome (ACS) Task Force and the Guideline Editorial Committee on behalf of the Japanese Circulation Society (JCS) Emergency and Critical Care Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in the treatment of cardiogenic shock (CS), it remains associated with high mortality rates. To improve patient outcomes, management in a dedicated care center has been proposed. However, the definition of a dedicated CS center has not been systematically examined, and no consensus exists across major societies or guidelines. The aim of this scoping review was to identify key elements defining CS centers linked to better patient outcomes and guide future research. This review was conducted in accordance with the PRISMA extension for scoping reviews. The PubMed, Cochrane, and Web of Science electronic databases were systematically searched to identify studies published from inception to July 19, 2023. Twenty observational studies examining hospital characteristics and patient outcomes with CS were included. Higher volumes of CS patients, more board-certified cardiologists, percutaneous coronary intervention (PCI) availability 24/7, and the presence of cardiovascular intensive care units, left ventricular assist device (LVAD) centers, and hub-and-spoke systems were associated with better outcomes. Inconsistent associations were observed for the number of PCIs, extracorporeal membrane oxygenation, and percutaneous microaxial ventricular assist device procedures, and LVAD case volume and the availability of cardiac surgical support were not associated with improved outcomes. This scoping review identified candidate elements of CS centers linked to better outcomes, providing a foundation for developing an optimal CS care system.

Indexed as

Cardiogenic shockHospital-level outcomesMechanical circulatory supportScoping reviewShock center

Identifiers

PMID41523931
PMCPMC12782917

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.