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Usefulness of Shock Index to Predict outcomes of Trauma Patient: a retrospective Cohort Study

Authors
 Myoung Jun Kim  ;  Jung Yun Park  ;  Mi Kyoung Kim  ;  Jae Gil Lee 
Citation
 Journal of the Korean Association Traumatology (대한외상학회지), Vol.32(1) : 17-25, 2019 
Journal Title
 Journal of the Korean Association Traumatology (대한외상학회지) 
ISSN
 1738-8767 
Issue Date
2019
Keywords
Shock index ; Trauma ; Mortality ; Biomarkers
Abstract
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.
Files in This Item:
T201901231.pdf Download
DOI
10.20408/jti.2018.034
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myung Jun(김명준)
Kim, Mi Kyoung(김미경)
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/169517
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