{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:13:37Z","timestamp":1793160817037,"version":"4.5.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"23","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Cardiogenic shock (CS) is a complex syndrome associated with high morbidity and mortality. In recent years, many US hospitals have formed multidisciplinary shock teams capable of rapid diagnosis and triage. Because of preexisting collaborative systems of care, hospitals with left ventricular assist device (LVAD) programs may also represent \u201ccenters of excellence\u201d for CS care. However, the outcomes of patients with CS at LVAD centers have not been previously evaluated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Patients with CS were identified in the 2012 to 2014 National Inpatient Sample. Clinical characteristics, revascularization rates, and use of mechanical circulatory support were analyzed in LVAD versus non\u2010LVAD centers. The association between hospital type and in\u2010hospital mortality was examined using multivariable logistic regression models. Of 272\u00a0075 hospitalizations, 26.0% were in LVAD centers. CS attributable to causes other than acute myocardial infarction represented most cases. In\u2010hospital mortality was lower in LVAD centers (38.9% versus 43.3%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). In multivariable analysis, the odds of mortality remained significantly lower for hospitalizations in LVAD centers (odds ratio, 0.89;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). In patients with CS secondary to acute myocardial infarction, revascularization rates were similar between LVAD and non\u2010LVAD centers. The use of intra\u2010aortic balloon pump (18.7% versus 18.8%) and Impella\/TandemHeart (2.6% versus 1.9%) was similar between hospital types, whereas extracorporeal membrane oxygenation was used more frequently in LVAD centers (4.3% versus 0.2%;\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Risk\u2010adjusted mortality was lower in patients with CS who were hospitalized at LVAD centers. These centers likely represent specialized, shock team capable institutions across the country that may be best suited to manage patients with CS.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.120.017326","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T09:55:24Z","timestamp":1606125324000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":27,"title":["Outcomes of Hospitalizations for Cardiogenic Shock at Left Ventricular Assist Device Versus Non\u2013Left Ventricular Assist Device Centers"],"prefix":"10.1161","volume":"9","author":[{"given":"Joseph I.","family":"Wang","sequence":"first","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Y.","family":"Lu","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"MHS","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitriy N.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"McCullough","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parag","family":"Goyal","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria G.","family":"Karas","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Sobol","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn M.","family":"Horn","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke K.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5150-1089","authenticated-orcid":false,"given":"Udhay","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Division of Cardiology Weill Cornell Medical College New York Presbyterian Hospital New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199908263410901"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.21.2511"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.4.448"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.10.039"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.036614"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.07.958"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.07.074"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.12.084"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.119.040654"},{"key":"e_1_3_2_11_2","unstructured":"HCUP Databases . 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