Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study
Purpose We investigated how prehospital, emergency room (ER), and delta shock indices (SI) correlate with outcomes including mortality in patients with polytrauma. Methods We retrospectively reviewed the medical records of 1,275 patients who visited the emergency department from January 2015 to Apri...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2019-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-32-017.pdf |
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| author | Myoung Jun Kim Jung Yun Park Mi Kyoung Kim Jae Gil Lee |
| author_facet | Myoung Jun Kim Jung Yun Park Mi Kyoung Kim Jae Gil Lee |
| author_sort | Myoung Jun Kim |
| collection | DOAJ |
| description | Purpose We investigated how prehospital, emergency room (ER), and delta shock indices (SI) correlate with outcomes including mortality in patients with polytrauma. Methods We retrospectively reviewed the medical records of 1,275 patients who visited the emergency department from January 2015 to April 2018. A total of 628 patients were enrolled in the study. Patients were divided into survivor and non-survivor groups, and logistic regression analysis was used to investigate independent risk factors for death. Pearson coefficient analysis and chi-square test were used to examine the significant relationship between SI and clinical progression markers. Results Of 628 enrolled patients, 608 survived and 27 died. Multivariate logistic regression analysis reveals “age” (p<0.001; OR, 1.068), “pre-hospital SI >0.9” (p<0.001; OR, 11.629), and “delta SI ≥0.3” (p<0.001; OR, 12.869) as independent risk factors for mortality. Prehospital and ER SIs showed a significant correlation with hospital and intensive care unit length of stay and transfusion amount. Higher prehospital and ER SIs (>0.9) were associated with poor clinical progression. Conclusions SI and delta SI are significant predictors of mortality in patients with polytrauma. Moreover, both prehospital and ER SIs can be used as predictive markers of clinical progression in these patients. |
| format | Article |
| id | doaj-art-50de0ac6582648b9aed0ebc4caf86590 |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-50de0ac6582648b9aed0ebc4caf865902025-01-06T01:15:42ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832019-03-01321172510.20408/jti.2018.034974Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort StudyMyoung Jun Kim0Jung Yun Park1Mi Kyoung Kim2Jae Gil Lee3Department of Surgery, Yonsei University College of Medicine, Seoul, KoreaDepartment of Surgery, Yonsei University College of Medicine, Seoul, KoreaDepartment of Surgery, Yonsei University College of Medicine, Seoul, KoreaDepartment of Surgery, Yonsei University College of Medicine, Seoul, KoreaPurpose We investigated how prehospital, emergency room (ER), and delta shock indices (SI) correlate with outcomes including mortality in patients with polytrauma. Methods We retrospectively reviewed the medical records of 1,275 patients who visited the emergency department from January 2015 to April 2018. A total of 628 patients were enrolled in the study. Patients were divided into survivor and non-survivor groups, and logistic regression analysis was used to investigate independent risk factors for death. Pearson coefficient analysis and chi-square test were used to examine the significant relationship between SI and clinical progression markers. Results Of 628 enrolled patients, 608 survived and 27 died. Multivariate logistic regression analysis reveals “age” (p<0.001; OR, 1.068), “pre-hospital SI >0.9” (p<0.001; OR, 11.629), and “delta SI ≥0.3” (p<0.001; OR, 12.869) as independent risk factors for mortality. Prehospital and ER SIs showed a significant correlation with hospital and intensive care unit length of stay and transfusion amount. Higher prehospital and ER SIs (>0.9) were associated with poor clinical progression. Conclusions SI and delta SI are significant predictors of mortality in patients with polytrauma. Moreover, both prehospital and ER SIs can be used as predictive markers of clinical progression in these patients.http://www.jtraumainj.org/upload/pdf/jti-32-017.pdfshock indextraumamortalitym biomarkers |
| spellingShingle | Myoung Jun Kim Jung Yun Park Mi Kyoung Kim Jae Gil Lee Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study Journal of Trauma and Injury shock index trauma mortalitym biomarkers |
| title | Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study |
| title_full | Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study |
| title_fullStr | Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study |
| title_full_unstemmed | Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study |
| title_short | Usefulness of Shock Index to Predict Outcomes of Trauma Patient: A Retrospective Cohort Study |
| title_sort | usefulness of shock index to predict outcomes of trauma patient a retrospective cohort study |
| topic | shock index trauma mortalitym biomarkers |
| url | http://www.jtraumainj.org/upload/pdf/jti-32-017.pdf |
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