학술논문

Mottling as a prognosis marker in cardiogenic shock
Document Type
article
Source
Annals of Intensive Care, Vol 13, Iss 1, Pp 1-13 (2023)
Subject
Cardiogenic shock
Acute heart failure
Perfusion
Microcirculation
Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Language
English
ISSN
2110-5820
Abstract
Abstract Aims Impact of skin mottling has been poorly studied in patients admitted for cardiogenic shock. This study aimed to address this issue and identify determinants of 30-day and 1-year mortality in a large cardiogenic shock cohort of all etiologies. Methods and results FRENSHOCK is a prospective multicenter observational registry conducted in French critical care units between April and October, 2016. Among the 772 enrolled patients (mean age 65.7 ± 14.9 years; 71.5% male), 660 had skin mottling assessed at admission (85.5%) with almost 39% of patients in cardiogenic shock presenting mottling. The need for invasive respiratory support was significantly higher in patients with mottling (50.2% vs. 30.1%, p