Evidence map›Paper›PMID 41782077›Full record

ArticleBMC cardiovascular disorders2026

Cardiogenic shock and acute renal failure associated mortality trends in the United States: a retrospective analysis of death records from 1999 to 2023.

Muhammad Shaheer Bin Faheem, Syed Tawassul Hassan, Syeda Lyba Onaiz, Anushah Faheem, Shan E Ali, Naveed Ahmad, Sumaya Samadi

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Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Muhammad Shaheer Bin FaheemKarachi Institute of Medical Sciences, KIMS, Karachi, Sindh, Pakistan.
Syed Tawassul HassanKarachi Medical and Dental College, KMDC, Karachi, Sindh, Pakistan.
Syeda Lyba OnaizFoundation University Medical College, FUMC, Islamabad, Pakistan.
Anushah FaheemKarachi Medical and Dental College, KMDC, Karachi, Sindh, Pakistan.
Shan E AliJinnah Sindh Medical University, JSMU, Karachi, Sindh, Pakistan.
Naveed AhmadKhyber Medical College, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Sumaya SamadiKabul University of Medical Sciences "Abu Ali Ibn Sina", Kabul, Afghanistan. dr.sumaya.hs@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiogenic shock (CS) and Acute Renal Failure (ARF) have a compounding impact on patient survival. The long-term epidemiological burden of this cardiorenal comorbidity remains understudied despite the advances in mechanical circulatory support and critical care. We aimed to analyze nationwide mortality trends and disparities involving co-occurring CS and ARF in the United States.

methodsDeath records from the CDC WONDER database were analyzed retrospectively (1999–2023), including adults aged ≥ 45 years listing CS and ARF as underlying or contributing causes. Age-Adjusted Mortality Rates (AAMRs) per 1,000,000 population were standardized to the 2000 U.S. population. Temporal trend assessment and annual percent changes (APCs) were computed through the Joinpoint regression program.

resultsA total of 48,926 deaths were identified with AAMR, increasing significantly from 7.0 in 1999 to 43.5 in 2023. Rates showed a steady incline from 2005 to 2019 (APC: 7.78), followed by a sharp acceleration from 2019 to 2023 (APC: 24.16). Males exhibited mortality rates nearly double those of females (20.5 vs. 10.5). Non-Hispanic (NH) African Americans had the highest AAMR (20.7) among racial groups. Geographically, the West (17.1) and non-metropolitan regions (12.9) experienced the highest mortality burdens.

conclusionsThe past two decades marked the surge in CS and ARF-related mortality rates following a sharp acceleration since 2019. Persistent disparities among males, NH African Americans, and rural populations highlight the urgent need for targeted resource allocation and improved access to advanced cardiorenal therapies. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Acute Kidney InjuryShock, CardiogenicAgedAged, 80 and overComorbidityDatabases, FactualFemaleHealth Status DisparitiesHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk AssessmentRisk FactorsSex FactorsAcute Renal FailureCardiogenic ShockCDC WONDERHealth DisparitiesMortality Trends

Identifiers

PMID41782077
PMCPMC13130764

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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.