Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample. (3rd April 2017)

• Record Type: Journal Article
• Authors: Banayan, Jennifer; Rana, Sarosh; Mueller, Ariel; Tung, Avery; Ramadan, Hadi; Arany, Zoltan; Nizamuddin, Junaid; Novack, Victor; Scavone, Barbara; Brown, Samuel M.; Shahul, Sajid
• Is Part Of: Hypertension in pregnancy. Volume 36:Number 2(2017)
• Page Start: 117
• Page End: 123
• Publication Date: 2017-04-03
• Subjects: Cardiogenic shock -- extracorporeal membrane oxygenation -- incidence -- maternal mortality -- pregnancy; Hypertension in pregnancy -- Periodicals; Pregnancy -- Complications -- Periodicals; 618.3261
• DOI: 10.1080/10641955.2016.1242606
• Languages: English
• ISSNs: 1064-1955

Abstract

ABSTRACT: Objective : Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. Methods : We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. Results : Of the 53, 794, 192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. Conclusions : CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.