Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample

Jennifer Banayan, Sarosh Rana, Ariel Mueller, Avery Tung, Hadi Ramadan, Zoltan Arany, Junaid Nizamuddin, Victor Novack, Barbara Scavone, Samuel M. Brown, Sajid Shahul

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

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.

Original languageEnglish
Pages (from-to)117-123
Number of pages7
JournalHypertension in Pregnancy
Volume36
Issue number2
DOIs
StatePublished - 3 Apr 2017
Externally publishedYes

Keywords

  • Cardiogenic shock
  • extracorporeal membrane oxygenation
  • incidence
  • maternal mortality
  • pregnancy

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