Department of Critical Care and Division of Cardiology, MedStar Washington Hospital Center, 110 Irving St NW, Suite 1A-27, Washington, DC, 20010, USA.
Curr Cardiol Rep. 2023 Dec;25(12):1657-1663. doi: 10.1007/s11886-023-01983-7. Epub 2023 Oct 20.
Cardiogenic shock (CS) is a time-sensitive and often fatal condition. To address this issue, many centers have developed multidisciplinary shock teams with a common goal of expediting the recognition and treatment of CS. In this review, we examine the mission, structure, implementation, and outcomes reported by these early shock teams.
To date, there have been four observational shock team analyses, each providing unique insight into the utility of the shock team. The limited available data supports that shock teams are associated with improved CS mortality. However, there is considerable operational heterogeneity among shock teams, and randomized data assessing their value and best practices in both local and regional care models are needed.
心原性休克(CS)是一种时间敏感且常致命的病症。为了解决这个问题,许多中心已经组建了多学科休克团队,其共同目标是加快对 CS 的识别和治疗。在这篇综述中,我们研究了这些早期休克团队所报告的使命、结构、实施情况和结果。
迄今为止,已有四项关于休克团队的观察性分析,每一项都提供了关于休克团队效用的独特见解。有限的可用数据支持休克团队与改善 CS 死亡率相关。然而,休克团队之间存在相当大的操作异质性,需要随机数据来评估它们在当地和区域护理模式中的价值和最佳实践。