{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:47:01Z","timestamp":1790660821186,"version":"4.1.0"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"18","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2021,9,21]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">There is increasing utilization of cardiogenic shock treatment algorithms. The cornerstone of these algorithms is the use of invasive hemodynamic monitoring (IHM). We sought to compare the in\u2010hospital outcomes in patients who received IHM versus no IHM in a real\u2010world contemporary database.<\/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 cardiogenic shock admitted during October 1, 2015 to December 31, 2018, were identified from the National Inpatient Sample. Among this group, we compared the outcomes among patients who received IHM versus no IHM. The primary end point was in\u2010hospital mortality. Secondary end points included vascular complications, major bleeding, need for renal replacement therapy, length of stay, cost of hospitalization, and rate of utilization of left ventricular assist devices and heart transplantation. Propensity score matching was used for covariate adjustment. A total of 394\u00a0635 (IHM=62\u00a0565; no IHM=332\u00a0070) patients were included. After propensity score matching, 2 well\u2010matched groups were compared (IHM=62\u00a0220; no IHM=62\u00a0220). The IHM group had lower in\u2010hospital mortality (24.1% versus 30.6%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01), higher percentages of left ventricular assist devices (4.4% versus 1.3%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01) and heart transplantation (1.3% versus 0.7%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.01) utilization, longer length of hospitalization and higher costs. There was no difference between the 2 groups in terms of vascular complications, major bleeding, and the need for renal replacement therapy.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Among patients with cardiogenic shock, the use of IHM is associated with a reduction in in\u2010hospital mortality and increased utilization of advanced heart failure therapies. Due to the observational nature of the current study, the results should be considered hypothesis\u2010generating, and future prospective studies confirming these findings are needed.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.121.021808","type":"journal-article","created":{"date-parts":[[2021,9,13]],"date-time":"2021-09-13T09:43:36Z","timestamp":1631526216000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":46,"title":["Invasive Hemodynamic Monitoring in Cardiogenic Shock Is Associated With Lower In\u2010Hospital Mortality"],"prefix":"10.1161","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5097-5568","authenticated-orcid":false,"given":"Mohammed","family":"Osman","sequence":"first","affiliation":[{"name":"Division of Cardiology West Virginia University School of Medicine Morgantown WV"},{"name":"Knight Cardiovascular InstituteOregon Health and Science University Portland 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InstituteOregon Health and Science University Portland OR"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8534-0474","authenticated-orcid":false,"given":"Marco","family":"Caccamo","sequence":"additional","affiliation":[{"name":"Division of Cardiology West Virginia University School of Medicine Morgantown WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Sokos","sequence":"additional","affiliation":[{"name":"Division of Cardiology West Virginia University School of Medicine Morgantown WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7872-3757","authenticated-orcid":false,"given":"Sudarshan","family":"Balla","sequence":"additional","affiliation":[{"name":"Division of Cardiology West Virginia University School of Medicine Morgantown WV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mir Babar","family":"Basir","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Henry Ford Health System Detroit MI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8302-6796","authenticated-orcid":false,"given":"Navin K.","family":"Kapur","sequence":"additional","affiliation":[{"name":"The Cardiovascular Center Tufts Medical Center Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9241-8890","authenticated-orcid":false,"given":"Mamas A.","family":"Mamas","sequence":"additional","affiliation":[{"name":"Keele Cardiovascular Research Group Keele University Keele United Kingdom"},{"name":"Royal Stoke University Hospital, Division of Cardiology Stoke\u2010on\u2010Trent United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Bianco","sequence":"additional","affiliation":[{"name":"Division of Cardiology 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