Código shock cardiogénico 2023. Documento de expertos para una organización multidisciplinaria que permita una atención de calidad

Despite the efforts made to improve the care of cardiogenic shock (CS) patients, including the development of mechanical circulatory support (MCS), the prognosis of these patients continues to be poor. In this context, CS code initiatives arise, based on providing adequate, rapid, and quality care t...

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Detalles Bibliográficos
Autores: Martínez-Sellés, M., Hernández-Pérez, F.J., Uribarri, A., Martín Villén, L., Zapata, L., Alonso, J.J., Amat-Santos, I.J., Ariza-Solé, A., Barrabés, J.A., Barrio, J.M., Canteli, Á., Alonso-Fernández-Gatta, M., Corbí Pascual, M.J., Díaz, D., Crespo Leiro, Marisa, de la Torre-Hernández, J.M., Ferrera, C., García González, M.J., García-Carreño, J., García-Guereta, L., García Quintana, A., Jorge Pérez, P., González Juanatey, José Ramón, López de Sá, E., Sánchez, P.L., Monteagudo, M., Palomo López, N., Reyes, G., Rosell, F., Solla Buceta, Miguel Antonio, Segovia-Cubero, J., Sionis Green, A., Stepanenko, A., Iglesias Álvarez, D., Viana Tejedor, A., Voces, R., Fuset Cabanes, M.P., Gimeno Costa, J.R., Díaz, J., Fernández-Avilés, F.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21239
Acceso en línea:https://portalcientifico.sergas.gal//documentos/638be9ce840d3a6d9ac81a2f
http://hdl.handle.net/20.500.11940/21239
Access Level:acceso abierto
Palabra clave:AS A Coruña
CHUAC
AS Santiago
CHUS
Descripción
Sumario:Despite the efforts made to improve the care of cardiogenic shock (CS) patients, including the development of mechanical circulatory support (MCS), the prognosis of these patients continues to be poor. In this context, CS code initiatives arise, based on providing adequate, rapid, and quality care to these patients. In this multidisciplinary document we try to justify the need to implement the SC code, defining its structure/organization, activation criteria, patient flow according to care level, and quality indicators. Our specific purposes are: a) to present the peculiarities of this condition and the lessons of infarction code and previous experiences in CS; b) to detail the structure of the teams, their logistics and the bases for the management of these patients, the choice of the type of MCS, and the moment of its implantation, and c) to address challenges to SC code implementation, including the uniqueness of the pediatric SC code. There is an urgent need to develop protocolized, multidisciplinary, and centralized care in hospitals with a large volume and experience that will minimize inequity in access to the MCS and improve the survival of these patients. Only institutional and structural support from the different administrations will allow optimizing care for CS.

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