Complementary value of the Shock Index v. the Modified Shock Index in the prediction of in-hospital intensive care unit admission and mortality: A single-centre experience
| Autor: | S Surendhar, S Jagadeesan, A B Jagtap |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | African Journal of Thoracic and Critical Care Medicine, Pp 52-56 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2617-0191 2617-0205 |
| DOI: | 10.7196/AJTCCM.2023.v29i2.286 |
| Popis: | Background. Shock is a state of circulatory insufficiency that creates an imbalance between tissue oxygen supply and demand, resulting in end-organ dysfunction and hypodynamic circulatory failure. Most patients with infectious and trauma-related illnesses present to the emergency department (ED) in shock. Objectives. To study the usefulness of the shock index (SI) and modified shock index (MSI) in identifying and triaging patients in shock presenting to the ED. Methods. This was a year-long observational, cross-sectional study of 290 patients presenting to the ED of a tertiary hospital in compensated or overt shock. The SI and MSI were calculated at the time of first contact, and then hourly for the initial 3 hours. Relevant background investigations targeting the cause of shock and prognostic markers were done. The outcome measures of mortality and intensive care unit admission were documented for each participant. Results. The mean age of the participants was 49 years, and 67% of them were men. In consensus with local and national data, the major medical comorbidities were hypertension (20%) and diabetes mellitus (16%). An SI ≥0.9 and an MSI ≥1.3 predicted in-hospital mortality (p |
| Databáze: | Directory of Open Access Journals |
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