The role of shock index as a predictor of multiple-trauma patients' pathways.

摘要: Objectives: This research was conducted with the aim of investigating accuracy shock index (SI) in distinguishing which multiple-trauma patients should be admitted to an intensive care unit (ICU) after treatment emergency room (ER). Background: The SI is easily obtained indicator, as it corresponds arithmetic ratio between two parameters that are always measured during first-aid patients: heart rate (HR) and systolic blood pressure (SBP). There many studies examining a possible predictor destination unit. evaluated both at trauma scene (pre-hospital SI-pH) (SI-ER). Design methods: An observational study retrospective approach on 158 adult multiple trauma. Results: mean SI-pH SI-ER values were higher ICU than in-patients discharged or normal ward, but difference these patient groups significant only for SI-ER. Analysis receiver operating characteristic (ROC) curves confirmed reliable indicator admission best cut-off 1 ⋅05. However, threshold value 0 ⋅75 still able establish correct type patients, sensitivity 57⋅3% specificity 62⋅5%. Conclusions: showed correlated, has shown statistical significance terms (ICU, ordinary ward discharge) initial ER. Relevance clinical practice: results this suggest possibility using triage assess patients’ complexity guide choice proper paths.