Impact of Geographic Access on Mortality in Cardiogenic Shock: Insights from a Nationwide Korean Cohort

Highlight

  • Longer hospital arrival times correlate with higher in-hospital and 1-year mortality rates in cardiogenic shock (CS) patients.
  • Patients with arrival times over 60 minutes had an adjusted 51% increase in odds of in-hospital death compared to those arriving under 10 minutes.
  • These mortality trends persisted after adjusting for confounders and across de novo and acute-on-chronic CS subtypes.
  • Findings underscore the need for strategic regional shock networks and early triage to enhance timely access to advanced care.

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