机构：[1]Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China[2]Department of Medical Administration, National Health Commission of the People’s Republic of China, Beijing, China[3]Department of Epidemiology and Biostatistics, Institute of Basic Medicine Sciences, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China[4]Department of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, China四川大学华西医院[5]Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China华中科技大学同济医学院附属协和医院[6]Department of Critical Care Medicine, Northern Jiangsu People’s Hospital, Yangzhou, China江苏省人民医院[7]Department of Critical Care Medicine, Tongji Hospital affiliated to Tongji Medical College Huazhong University of Science and Technology, Wuhan, China华中科技大学同济医学院附属同济医院[8]Department of Respiratory and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China[9]Department of Critical Care Medicine, The First Hospital of China Medical University, Shenyang, China[10]Department of Emergency and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, China[11]Department of Critical Care Medicine, Xuanwu Hospital Capital Medical University, Beijing, China首都医科大学宣武医院[12]Department of Critical Care Medicine, Xiangya Hospital, Changsha, China[13]Department of Critical Care Medicine, Zhejiang Hospital, Hangzhou, China[14]Department of Critical Care Medicine, Peking University Third Hospital, Beijing, China[15]Department of Critical Care Medicine, Peking University People’s Hospital, Beijing, China[16]Department of Critical Care Medicine, Guangxi Medical University Affiliated Hospital, Nanning, China[17]Department of Critical Care Medicine, Zhejiang Medical University Affiliated Hospital, Hangzhou, China[18]Department of Critical Care Medicine, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China中山大学附属第一医院[19]Department of Critical Care Medicine, Ruijin Hospital affiliated to Medical College of Shanghai Jiaotong University, Shanghai, China[20]Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
Background: Shock is a critical illness that seriously threatens the lives of patients. This study explains the epidemiology of shock, mortality of shock, and identify factors that related to hospital death. Methods: This is a multi-centre cross-sectional survey, which included 1,064 tertiary hospitals in 31 provinces, municipalities, and autonomous regions across China mainland. Totally 289,428 patients who diagnosed with shock based on the ICD-10 abstracted from the Hospital Quality Monitoring System (HQMS) in 2018, a national database administrated by National Health Commission of the PRC. Results: Patients diagnosed with shock were screened and classified according to the type of shock. Regression analysis was used to identify factors that related to death. A total of 79,668,156 medical records were included in HQMS in 2018, from which a total of 289,428 records with shock were identified. Hypovolemic shock occurred in 128,436 cases (44.38%), septic shock occurred in 121,543 cases (41.99%), cardiogenic shock occurred in 44,597 cases (15.41), and obstructive shock occurred in 3,168 cases (1.09%). Of these, 8,147 cases (2.81%) had mixed shock, which means had two or more types of shock. For all the shock cases, the top three frequent concomitant diseases recorded were circulatory system diseases (55.22%), digestive system diseases (53.64%), and respiratory system diseases (53.31%). Of the four types of shock, cases with cardiogenic shock had the highest in-hospital mortality (31.6%), followed by those with obstructive shock (25.2%), septic shock (22.9%), and hypovolemic shock (15.5%). Interestingly, the combination of shock and malignant tumors is one of the major factors that related to hospital deaths. Conclusions: Shock is a serious disease with a high fatality rate and huge clinical costs. According to this epidemiological survey of shock in China 2018, we should clarify the factors related to the hospital death in shock cases.
基金：
This study supported by National Key R&D
Program of China (grant number 2020YFC0861000) and
CAMS Innovation Fund for Medical Sciences (CIFMS) (No.
2020-I2M-CoV19-001), Beijing Municipal Natural Science
Foundation (M21019) and CMB Open Competition
Program (20-381).
第一作者机构：[1]Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
共同第一作者：
通讯作者：
通讯机构：[1]Department of Critical Care Medicine, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China[20]Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China[*1]Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China.[*2]Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, China.
推荐引用方式(GB/T 7714)：
Longxiang Su,Xudong Ma,Xi Rui,et al.Shock in China 2018 (SIC-study): a cross-sectional survey[J].ANNALS OF TRANSLATIONAL MEDICINE.2021,9(15):doi:10.21037/atm-21-310.
APA：
Longxiang Su,Xudong Ma,Xi Rui,Huaiwu He,Ye Wang...&SIC study of China National Critical Care Quality Control Center Group.(2021).Shock in China 2018 (SIC-study): a cross-sectional survey.ANNALS OF TRANSLATIONAL MEDICINE,9,(15)
MLA：
Longxiang Su,et al."Shock in China 2018 (SIC-study): a cross-sectional survey".ANNALS OF TRANSLATIONAL MEDICINE 9..15(2021)
