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

doi:10.1080/10641955.2016.1242606

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^*

^*Corresponding author for this work

Anesthesiology

Research output: Contribution to journal › Article › peer-review

25 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 language	English (US)
Pages (from-to)	117-123
Number of pages	7
Journal	Hypertension in Pregnancy
Volume	36
Issue number	2
DOIs	https://doi.org/10.1080/10641955.2016.1242606
State	Published - Apr 3 2017

Keywords

Cardiogenic shock
extracorporeal membrane oxygenation
incidence
maternal mortality
pregnancy

ASJC Scopus subject areas

Internal Medicine
Obstetrics and Gynecology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/10641955.2016.1242606

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title = "Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample",

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.",

keywords = "Cardiogenic shock, extracorporeal membrane oxygenation, incidence, maternal mortality, pregnancy",

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

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doi = "10.1080/10641955.2016.1242606",

language = "English (US)",

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journal = "Hypertension in Pregnancy",

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TY - JOUR

T1 - Cardiogenic shock in pregnancy

T2 - Analysis from the National Inpatient Sample

AU - Banayan, Jennifer

AU - Rana, Sarosh

AU - Mueller, Ariel

AU - Tung, Avery

AU - Ramadan, Hadi

AU - Arany, Zoltan

AU - Nizamuddin, Junaid

AU - Novack, Victor

AU - Scavone, Barbara

AU - Brown, Samuel M.

AU - Shahul, Sajid

PY - 2017/4/3

Y1 - 2017/4/3

N2 - 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.

AB - 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.

KW - Cardiogenic shock

KW - extracorporeal membrane oxygenation

KW - incidence

KW - maternal mortality

KW - pregnancy

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JF - Hypertension in Pregnancy

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Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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