Value of Shock Index in prognosticating the short-term outcome of death for patients presenting with severe sepsis and septic shock in the emergency department.

摘要: INTRODUCTION The importance of early recognition and treatment sepsis its effects on short-term survival outcome have long been recognized. Having reliable indicators markers that would help prognosticate the these patients is invaluable subsequently assist in course effective dynamic triaging goal directed management. STUDY OBJECTIVES To determine prognosticative value Shock Index (SI), taken upon arrival to emergency department after 2 hours resuscitation shortterm severe septic shock patients. METHODOLOGY This a retrospective observational study involving 50 admitted University Malaya Medical Centre between June 2009 2010 who diagnosed with either or shock. Patients were identified retrospectively from details recorded registration book room. selected for this pilot study. population comprised 19 males (38%) 31 females (62%). median (min, max) age was 54.5 (17.0, 84.0) years. number cases (62%), respectively. There 17 (34%) pneumonias, 13 (26%) urological sepsis, 8 (16%) gastro intestinal tract related infections 12 (24%) other infections. total 23 (46%) survivors 27 (54%) deaths. index defined as systolic blood pressure divided by heart rate calculated. presentation ED (SI 1) 2). median, minimum maximum variables tested using Mann-Whitney U Chi square analysis. significant parameters re-evaluated sensitivity, specificity cut-off points. ROC curves AUC values generated among assess prognostic utility outcome. RESULTS Amongst all 7 tested, be (p: = 1.0. CONCLUSION 2) may potentially utilized predictor death presenting an department. should further analyzed larger scale prospective validity.