This retrospective observational study investigated the incidence, management, and outcomes of 125 shock patients admitted to the internal medicine department of a referral university hospital in Bangkok, Thailand, addressing limited local data on this critical condition.

Shock cases were identified based on specific diagnostic criteria from medical records.

The most prevalent types were septic shock (40.0%), followed by cardiogenic shock (39.2%), hypovolemic shock (18.4%), and obstructive shock (2.4%). The overall intensive care unit admission rate was 46.7%, highest among cardiogenic shock patients.

The overall 28-day mortality rate was 23.7%.

Septic shock patients admitted to the ICU experienced the highest mortality rate at 50.0%.

Multivariate analysis identified colloid resuscitation (aOR 3.10), vasopressor dose greater than 0.2 μg/kg/min (aOR 4.38), and renal replacement therapy (aOR 3.43) as significant factors independently associated with increased mortality.

The study provides valuable insights into shock characteristics and outcomes in this setting, highlighting challenges such as potential ICU bed availability limitations and identifying key predictors of mortality.

It emphasizes the critical role of early recognition and tailored interventions in improving outcomes for shock patients.

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