An analysis of shock index as a correlate for outcomes in trauma by age group

作者: Andrea McNab , Bracken Burns , Indermeet Bhullar , David Chesire , Andrew Kerwin

DOI: 10.1016/J.SURG.2013.05.007

关键词:

摘要: Background Shock index as the ratio of heart rate to systolic blood pressure is a simple triage tool that correlates well with various outcomes in trauma patients. Concern has been raised regarding accuracy shock older We sought investigate effects age on of shock index. Methods This retrospective review data from level I center. was calculated for 16,269 patients, and they were stratified into groups by decade. The correlation between prehospital each several outcome variables evaluated by Pearson coefficients. Logistic regression used evaluate an increase during transit its relationship mortality. Results All values patients 16 60 years positive ( P Conclusion As expected, alone diminishing than should be interpreted cautiously personnel. younger 60, can valuable when determining need transport center, preparation resources, or activation team.

参考文章(12)
Kai Grimme, Hans Christoph Pape, Christian Probst, Melanie Seelis, Andrea Sott, Paul Harwood, Boris Zelle, Christian Krettek, Martin Allgöwer, Calculation of Different Triage Scores Based on the German Trauma Registry European Journal of Trauma and Emergency Surgery. ,vol. 31, pp. 480- 487 ,(2005) , 10.1007/S00068-005-2026-8
Jose Salinas, Michael A. Dubick, Victor A. Convertino, Denise Hinds, Will David, Tom Flanagan, James H. Duke, John McManus, Andrey L. Yershov, David Ludwig, John B. Holcomb, Radial pulse character relationships to systolic blood pressure and trauma outcomes. Prehospital Emergency Care. ,vol. 9, pp. 423- 428 ,(2005) , 10.1080/10903120500255891
Randall W. King, Michael C. Plewa, Nancy M. Fenn Buderer, F. Barry Knotts, Shock index as a marker for significant injury in trauma patients Academic Emergency Medicine. ,vol. 3, pp. 1041- 1045 ,(1996) , 10.1111/J.1553-2712.1996.TB03351.X
Ari M. Lipsky, Marianne Gausche-Hill, Philip L. Henneman, Anthony J. Loffredo, Patricia B. Eckhardt, H Gill Cryer, Christian de Virgilio, Stanley L. Klein, Frederic S. Bongard, Roger J. Lewis, Prehospital hypotension is a predictor of the need for an emergent, therapeutic operation in trauma patients with normal systolic blood pressure in the emergency department. Journal of Trauma-injury Infection and Critical Care. ,vol. 61, pp. 1228- 1233 ,(2006) , 10.1097/01.TA.0000196694.52615.84
John B. Holcomb, Jose Salinas, John M. McManus, Charles C. Miller, William H. Cooke, Victor A. Convertino, Manual vital signs reliably predict need for life-saving interventions in trauma patients. Journal of Trauma-injury Infection and Critical Care. ,vol. 59, pp. 821- 829 ,(2004) , 10.1097/01.TA.0000188125.44129.7C
William H. Cooke, Jose Salinas, Victor A. Convertino, David A. Ludwig, Denise Hinds, James H. Duke, Fredrick A. Moore, John B. Holcomb, Heart rate variability and its association with mortality in prehospital trauma patients. Journal of Trauma-injury Infection and Critical Care. ,vol. 60, pp. 363- 370 ,(2006) , 10.1097/01.TA.0000196623.48952.0E
Andrea McNab, Bracken Burns, Indermeet Bhullar, David Chesire, Andrew Kerwin, A prehospital shock index for trauma correlates with measures of hospital resource use and mortality. Surgery. ,vol. 152, pp. 473- 476 ,(2012) , 10.1016/J.SURG.2012.07.010
Chad M. Cannon, Carla C. Braxton, Mendy Kling-Smith, Jonathan D. Mahnken, Elizabeth Carlton, Michael Moncure, Utility of the shock index in predicting mortality in traumatically injured patients. Journal of Trauma-injury Infection and Critical Care. ,vol. 67, pp. 1426- 1430 ,(2009) , 10.1097/TA.0B013E3181BBF728
Liangyou Chen, Andrew T. Reisner, Andrei Gribok, Jaques Reifman, Exploration of Prehospital Vital Sign Trends for the Prediction of Trauma Outcomes Prehospital Emergency Care. ,vol. 13, pp. 286- 294 ,(2009) , 10.1080/10903120902935298
Jane Mitchko, Jeffrey P. Salomone, Lawrence H. Brown, Arthur Cooper, Richard C. Hunt, Mark C. Henry, Stewart C. Wang, Scott M. Sasser, Scott M. Sasser, Robert L. Galli, Ernest E. Sullivent, Gregory J. Jurkovich, Richard W. Sattin, Marlena M. Wald, Guidelines for field triage of injured patients recommendations of the national expert panel on field triage. Morbidity and Mortality Weekly Report. ,vol. 58, pp. 1- 35 ,(2009)