{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T03:35:34Z","timestamp":1792726534950,"version":"4.5.0"},"reference-count":0,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T00:00:00Z","timestamp":1694736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Short-term mechanical circulatory support (STMCS) may be used as an intentional escalation strategy to treat refractory cardiogenic shock (rCS). However, with growing technical possibilities, making the right choice at the right time can be challenging. We established a shock team in January 2013 comprising a cardiac anaesthetist\u2013intensivist, an interventional cardiologist, and a cardiac surgeon. Since then, a diagnosis of rCS has triggered a multidisciplinary team meeting based on a common algorithm. This study aimed to compare the decision-making process for STMCS for rCS before (2007\u20132013) and after (2013\u20132019) the creation of the shock team.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>This before-and-after cohort study was conducted over a 156-month period. Post-cardiotomy rCS were excluded. The primary outcome was a 1-year survival rate. In total, 250 consecutive adult patients were included in the analysis (84 in the control group and 166 in the shock team group). At baseline, the CardShock score was not different between the two groups (5[3\u20135] vs. 5[4\u20136], P = 0.323). The 1-year survival rate was significantly higher in the shock team group compared with the control group (59% vs. 45%, P = 0.043). After a Cox regression analysis, the shock team intervention was independently associated with a significantly improved 1-year survival rate (HR: 0.592, 95% CI: 0.398\u20130.880, P = 0.010).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A multidisciplinary shock team-based decision for STMCS device implantation in rCS is associated with better 1-year survival rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjacc\/zuad108","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T19:24:43Z","timestamp":1694805883000},"page":"821-830","source":"Crossref","is-referenced-by-count":20,"title":["Multidisciplinary cardiogenic shock team approach improves the long-term outcomes of patients suffering from refractory cardiogenic shock treated with short-term mechanical circulatory support"],"prefix":"10.1093","volume":"12","author":[{"given":"Fran\u00e7ois-Xavier","family":"H\u00e9rion","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"},{"name":"University Bordeaux, INSERM, U1034 Biologie des maladies cardiovasculaires , 1 Av. Magellan, 33600 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3708-4653","authenticated-orcid":false,"given":"Antoine","family":"Beurton","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"},{"name":"University Bordeaux, INSERM, U1034 Biologie des maladies cardiovasculaires , 1 Av. Magellan, 33600 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Oddos","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Nubret","sequence":"additional","affiliation":[{"name":"Heart Failure Unit, Cardiology Department, H\u00f4pital Cardiologique du Haut L\u00e9v\u00eaque, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9ment","family":"Aguerreche","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Quessard","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxime","family":"Faure","sequence":"additional","affiliation":[{"name":"Heart Failure Unit, Cardiology Department, H\u00f4pital Cardiologique du Haut L\u00e9v\u00eaque, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4669-3562","authenticated-orcid":false,"given":"Edouard","family":"Gerbaud","sequence":"additional","affiliation":[{"name":"Department of Cardiology Intensive Care Unit and Interventional Cardiology, H\u00f4pital Cardiologique du Haut L\u00e9v\u00eaque, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"},{"name":"Bordeaux Cardio-Thoracic Research Centre, U1045, University Hospital of Bordeaux , Plateforme Technologique d'Innovation Biom\u00e9dicale, Avenue du Haut L\u00e9v\u00eaque, 33600 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5882-8925","authenticated-orcid":false,"given":"Mathieu","family":"Pernot","sequence":"additional","affiliation":[{"name":"University Bordeaux, INSERM, U1034 Biologie des maladies cardiovasculaires , 1 Av. Magellan, 33600 Pessac , France"},{"name":"Department of Cardiovascular Surgery, H\u00f4pital Cardiologique du Haut L\u00e9v\u00eaque, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Imbault","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"},{"name":"University Bordeaux, INSERM, U1034 Biologie des maladies cardiovasculaires , 1 Av. Magellan, 33600 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Ouattara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Anaesthesia and Critical Care, University Hospital of Bordeaux , Avenue du Haut L\u00e9v\u00eaque, 33604 Pessac , France"},{"name":"University Bordeaux, INSERM, U1034 Biologie des maladies cardiovasculaires , 1 Av. Magellan, 33600 Pessac , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,9,15]]},"container-title":["European Heart Journal: Acute Cardiovascular Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjacc\/advance-article-pdf\/doi\/10.1093\/ehjacc\/zuad108\/51903963\/zuad108.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjacc\/article-pdf\/12\/12\/821\/54722401\/zuad108.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjacc\/article-pdf\/12\/12\/821\/54722401\/zuad108.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T16:38:07Z","timestamp":1703176687000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjacc\/article\/12\/12\/821\/7274996"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,15]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,9,15]]},"published-print":{"date-parts":[[2023,12,21]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjacc\/zuad108","relation":{},"ISSN":["2048-8726","2048-8734"],"issn-type":[{"value":"2048-8726","type":"print"},{"value":"2048-8734","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,12]]},"published":{"date-parts":[[2023,9,15]]}}}