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Acute kidney injury in cardiogenic shock: The powerful distortions of survivor bias
Author(s) -
Tehrani David M.,
Seto Arnold H.
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29848
Subject(s) - cardiogenic shock , medicine , shock (circulatory) , acute kidney injury , cardiology , intensive care medicine , retrospective cohort study , emergency medicine , myocardial infarction
Key Points The SCAI Shock Classification formalized definitions of cardiogenic shock and is prognostic for mortality. This retrospective analysis found that AKI was prognostic for mortality in patients at risk of or in early shock, but was paradoxically associated with lower mortality in SCAI Shock D or E. Survival bias explains this result and the risks in other mental shortcuts made in science and society.