دورية أكاديمية
Cardiogenic Shock Challenges and Priorities: A Clinician Survey.
| العنوان: | Cardiogenic Shock Challenges and Priorities: A Clinician Survey. |
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| المؤلفون: | Dennis M; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address: mark.dennis@sydney.edu.au., Burrell A; Australia and New Zealand Intensive Care Research Centre (ANZIC-RC), Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia; Department of Intensive Care, Alfred Health, Melbourne, Vic, Australia., Lal S; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia., Ferguson C; Centre for Chronic & Complex Care Research, Blacktown Hospital, Blacktown, Sydney, and Western Sydney Local Health, Sydney, NSW, Australia; School of Nursing, University of Wollongong, NSW, Australia., French J; University of New South Wales, Sydney, NSW, Australia; Department of Cardiology, Liverpool Hospital, Liverpool, Sydney, NSW, Australia., Bowcock E; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Intensive Care Medicine, Nepean Hospital, Nepean, Sydney, NSW, Australia., Kruit N; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Aeromedical Operations, New South Wales Ambulance, Sydney, NSW, Australia; Department of Anaesthesia, Westmead Hospital, Westmead, Sydney, NSW, Australia., Burns B; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Anaesthesia, Westmead Hospital, Westmead, Sydney, NSW, Australia; Department of Emergency Medicine, Northern Beaches Hospital, Sydney, NSW, Australia., Jain P; Sydney Medical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia. |
| المصدر: | Heart, lung & circulation [Heart Lung Circ] 2024 Aug; Vol. 33 (8), pp. 1227-1231. Date of Electronic Publication: 2024 May 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Australia Country of Publication: Australia NLM ID: 100963739 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1444-2892 (Electronic) Linking ISSN: 14439506 NLM ISO Abbreviation: Heart Lung Circ Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Original Publication: Carlton, Vic., Australia : Blackwell Science Asia, c2000- |
| مواضيع طبية MeSH: | Shock, Cardiogenic*/therapy, Humans ; Surveys and Questionnaires ; Australia ; Male ; Female |
| مستخلص: | Background: Cardiogenic shock (CS) is common and survival outcomes have not substantially improved. Australia's geography presents unique challenges in the management of CS. The challenges and research priorities for clinicians pertaining to CS identification and management have yet to be described. Method: We used an exploratory sequential mixed methods design. Semi-structured interviews were conducted with 10 clinicians (medical and nursing) to identify themes for quantitative evaluation. A total of 143 clinicians undertook quantitative evaluation through online survey. The interviews and surveys addressed current understanding of CS, status of cardiogenic systems and future research priorities. Results: There were 143 respondents: 16 (11%) emergency, cardiology 22 (16%), 37 (26%) intensive care, 54 (38%) nursing. In total, 107 (75%) believe CS is under-recognised. Thirteen (13; 9%) of respondents indicated their hospital had existing CS teams, all from metropolitan hospitals, and 40% thought additional access to mechanical circulatory support devices was required. Five (5; 11%) non-tertiary hospital respondents had not experienced a delay in transfer of a patient in CS. All respondents felt additional research, particularly into the management of CS, was required. Conclusions: Clinicians report that CS is under-recognised and further research into CS management is required. Access to specialised CS services is still an issue and CS protocolised pathways may be of value. Competing Interests: Conflicts of Interest There are no conflicts of interest to disclose. (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cardiogenic shock; Protocolised management |
| تواريخ الأحداث: | Date Created: 20240514 Date Completed: 20240810 Latest Revision: 20240810 |
| رمز التحديث: | 20240812 |
| DOI: | 10.1016/j.hlc.2024.04.166 |
| PMID: | 38744603 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1444-2892 |
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| DOI: | 10.1016/j.hlc.2024.04.166 |