Shock index as a mortality predictor in patients with acute polytrauma
| Autor: | Luis Ramiro Núñez, Juan S. Calle-Toro, José D. Charry, Kevin F. Montoya, Gustavo Poveda |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Univariate analysis
medicine.medical_specialty business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid Shock index Multiple trauma lcsh:RC86-88.9 General Medicine Emergency department medicine.disease Polytrauma Triage Surgery Blood pressure Internal medicine medicine Injury Severity Score In patient Mortality business |
| Zdroj: | Journal of Acute Disease, Vol 4, Iss 3, Pp 202-204 (2015) |
| ISSN: | 2221-6189 |
| DOI: | 10.1016/j.joad.2015.04.006 |
| Popis: | Objective: To evaluate whether the shock index (SI), given by the formula SI = heart rate/systolic blood pressure (HR/SBP), is useful for predicting mortality at 24 h in trauma patients admitted to the emergency department of a university hospital in Colombia. Methods: A database of trauma patients admitted between January 2013 and December 2013 was constructed; the result according to the shock index was determined, generating a dichotomous variable with two groups: Group A (SI 0.9). Univariate analysis was performed. Results: A total of 666 patients were analyzed, 83.3% (555) had SI 0.9. The mean age for Groups A and B was 32.4 and 35.4 respectively. The average injury severity score for both groups was 9.6 and 17.6 respectively. Mortality at 24 h after injury for both groups was 3.1% (P = 0.032) and 59.5% (P = 0.027) respectively. Conclusions: An initial shock index greater than 0.9 implies a worse prognosis 24 h after injury. The shock index predicts mortality in multiple trauma patients in the emergency department, and is also a quick and applicable in all hospital. |
| Databáze: | OpenAIRE |
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