Prognostic Value of Neurological Status on Hospital Arrival for Short-Term Outcome in Patients With Cardiovascular Shock　― Sub-analysis of the Japanese Circulation Society Cardiovascular Shock Registry ―

Abstract

with cardiovascular shock remains high, approaching 30-50%. 1-4 Shock is diagnosed by detecting the presence of systemic arterial hypotension, hyperlactatemia, and tissue hypoperfusion. Although arterial hypotension is usually observed in cardiovascular shock patients, its clinical sig-C ardiovascular shock is a clinical manifestation of circulatory failure related to insufficient blood flow to tissues. Despite advances in emergency care systems and treatments, including early revascularization and mechanical circulatory assist, the mortality rate in patients

Institutional Characteristics and Prognosis of Acute Myocardial Infarction With Cardiogenic Shock in Japan ― Analysis From the JROAD/JROAD-DPC Database ―

“…The inclusion of non-STEMI patients presented high OR for 30-day mortality in both Killip classification groups (Table 3), which is consistent with our prospective cohort study in a Japanese population in the JCS Shock Registry. 3,18 Female sex was associated with higher mortality, a difference that is unexplained by this study, but is in accordance with previous Japanese and international cohort studies. [19][20][21] In this study, cardiac arrest, observed in 5.3% of Killip class IV patients, was independently associated with lower mortality (adjusted OR 0.65, CI 0.54-0.77), which is unexplainable from this study.…”

Treatment With Vasopressor Agents for Cardiovascular Shock Patients With Poor Renal Function; Results From the Japanese Circulation Society Cardiovascular Shock Registry

“…This was a secondary analysis of the Japanese Circulation Society Cardiovascular Shock Registry (JCS Shock Registry) ( 11 ). We have previously conducted a prospective, observational, multicenter cohort study based on the JCS Shock Registry ( 11 , 18 , 19 ). Patients diagnosed with cardiovascular shock complicating emergency CVD were registered from 82 centers in Japan between May 2012 and June 2014 ( 11 ).…”