{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T12:18:22Z","timestamp":1778588302037,"version":"3.51.4"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,5,12]]},"abstract":"<jats:p>Objetivos. No existen datos sobre la implementaci\u00f3n de equipos de shock (shock teams, ST) ni su impacto en el shock\ncardiog\u00e9nico (SC) en Espa\u00f1a.\nM\u00e9todos. Se realiz\u00f3 un estudio observacional retrospectivo que incluy\u00f3 episodios de SC (2016-2022) de hospitales\ndel Sistema Nacional de Salud con disponibilidad de unidad de cardiolog\u00eda intervencionista. La poblaci\u00f3n se dividi\u00f3\nen: a) pacientes hospitalizados en centros con ST (SC-ST) y b) pacientes hospitalizados en centros sin ST (SC-NST).\nTambi\u00e9n se registr\u00f3 la disponibilidad de unidad de cuidados intensivos cardiol\u00f3gicos (UCIC), cirug\u00eda cardiaca, programa de trasplante cardiaco y volumen de casos de SC de cada centro. La variable de resultado fue la mortalidad\nhospitalaria.\nResultados. Se analizaron 15.879 episodios, de los que el 32% (5.095) correspond\u00edan al grupo SC-ST. El porcentaje\nde centros con disponibilidad de ST aument\u00f3 de forma progresiva desde el 7% en 2016 al 39% en 2022. Los pacientes del grupo SC-ST eran m\u00e1s j\u00f3venes (68 vs 71 a\u00f1os, p &lt; 0,001), y fueron tratados con mayor frecuencia con ventilaci\u00f3n mec\u00e1nica, depuraci\u00f3n extrarrenal y soporte circulatorio (p &lt; 0,001), presentaron mayor incidencia de fracaso renal agudo e ictus y tuvieron una mayor estancia hospitalaria (12 vs 9 d\u00edas, p &lt; 0,001). La asistencia en centros con ST\n(OR: 0,86; IC 95%: 0,77-0,96; p = 0,005) y UCIC (OR: 0,82; IC 95%: 0,69-0,98; p &lt; 0,033) se asoci\u00f3 de forma significativa con una menor mortalidad.\nConclusiones. La disponibilidad de ST se ha extendido en Espa\u00f1a. Los pacientes ingresados en centros con ST se manejan de forma m\u00e1s invasiva, y tienen menor mortalidad hospitalaria a pesar de una mayor incidencia de complicaciones.<\/jats:p>","DOI":"10.55633\/s3me\/052.2026","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:56:42Z","timestamp":1778587002000},"source":"Crossref","is-referenced-by-count":0,"title":["Implementation of shock teams and impact on the therapeutic approach and prognosis of cardiogenic shock in Spain"],"prefix":"10.55633","author":[{"given":"Marta","family":"Marcos-Mangas","sequence":"first","affiliation":[{"name":"Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Jorge-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Hospital Universitario de Canarias, Tenerife, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josep","family":"Comin-Colet","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a. Universitat de Barcelona (UB), Barcelona, Espa\u00f1a Centro de Investigaci\u00f3n Biom\u00e9dica en Red, Enfermedades Cardiovasculares, CIBER-CV, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N\u00e1yade","family":"del Prado","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Espa\u00f1a.Servicio de Medicina Preventiva, \u00c1rea Sanitaria de Santiago de Compostela y Barbanza, Instituto de Investigaciones Sanitarias de Santiago (IDIS), Santiago de Compostela, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Viana Tejedor","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitario Cl\u00ednico San Carlos, Madrid, Espa\u00f1a. Instituto de Investigaci\u00f3n Sanitaria Hospital Cl\u00ednico San Carlos (IdISSC), Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luis","family":"Bernal","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Espa\u00f1a.C\u00e1tedra IMAS - Universidad Rey Juan Carlos, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rut","family":"Andrea","sequence":"additional","affiliation":[{"name":"Universitat de Barcelona (UB), Barcelona, Espa\u00f1aSecci\u00f3n de Cuidados Cardiacos Agudos, Servicio de Cardiolog\u00eda, Institut Clinic Cardiovascular, Hospital Cl\u00ednic de Barcelona, Barcelona, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Sionis","sequence":"additional","affiliation":[{"name":"Unidad de Cuidados Agudos Cardiol\u00f3gicos, Servicio de Cardiolog\u00eda, Hospital de la Santa Creu i Sant Pau, Institut de Recerca II-B Sant Pau, Universidad Aut\u00f3noma de Barcelona, Barcelona, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Segovia-Cubero","sequence":"additional","affiliation":[{"name":"Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordi","family":"Ba\u00f1era","sequence":"additional","affiliation":[{"name":"Hospital de la Vall d\u2019Hebron, Barcelona, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Isabel","family":"Barrionuevo S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 C","family":"S\u00e1nchez-Salado","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Gonz\u00e1lez-Costello","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a. Universitat de Barcelona (UB), Barcelona, Espa\u00f1a Centro de Investigaci\u00f3n Biom\u00e9dica en Red, Enfermedades Cardiovasculares, CIBER-CV, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oriol","family":"Alegre","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Mart\u00ednez-Sell\u00e9s","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Instituto de Investigaci\u00f3n Sanitaria Gregorio Mara\u00f1\u00f3n, CIBERCV, Instituto de Salud Carlos III, Facultad de Ciencias Biom\u00e9dicas y de la Salud, Universidad Europea. Facultad de Medicina, Universidad Complutense, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Mart\u00edn-Asenjo","sequence":"additional","affiliation":[{"name":"Hospital Universitario 12 de Octubre, Madrid. Instituto de Investigaci\u00f3n Sanitaria Hospital 12 de Octubre (IMAS12), Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Generosa","family":"Crespo-Leiro","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red, Enfermedades Cardiovasculares, CIBER-CV, Espa\u00f1a.Complexo Hospitalario Universitario de A Coru\u00f1a. INIBIC. UDC. CIBERCV, Espa\u00f1a"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan Antoni","family":"G\u00f3mez-Hospital","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a. Universitat de Barcelona (UB), Barcelona, Espa\u00f1a Centro de Investigaci\u00f3n Biom\u00e9dica en Red, Enfermedades Cardiovasculares, CIBER-CV, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Elola","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Instituto para la Mejora de la Asistencia Sanitaria, Madrid, Espa\u00f1a. C\u00e1tedra IMAS - Universidad Rey Juan Carlos, Madrid, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Ariza-Sol\u00e9","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Universitari de Bellvitge; IDIBELL. L\u2019Hospitalet de Llobregat, Barcelona, Espa\u00f1a. Universitat de Barcelona (UB), Barcelona, Espa\u00f1a Centro de Investigaci\u00f3n Biom\u00e9dica en Red, Enfermedades Cardiovasculares, CIBER-CV, Espa\u00f1a."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"33356","published-online":{"date-parts":[[2026,5,12]]},"container-title":["Emergencias"],"original-title":["Implementaci\u00f3n de equipos de shock (shock teams) e impacto en el abordaje terap\u00e9utico y el pron\u00f3stico del shock cardiog\u00e9nico en Espa\u00f1a"],"deposited":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T11:56:42Z","timestamp":1778587002000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/implementacion-de-equipos-de-shock-shock-teams-e-impacto-en-el-abordaje-terapeutico-y-el-pronostico-del-shock-cardiogenico-en-espana\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/052.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,12]]}}}