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

DC FieldValueLanguage
dc.contributor.author김명준-
dc.contributor.author김미경-
dc.contributor.author이재길-
dc.date.accessioned2019-05-29T05:18:08Z-
dc.date.available2019-05-29T05:18:08Z-
dc.date.issued2019-
dc.identifier.issn1738-8767-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/169517-
dc.description.abstractPurpose: 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.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한외상학회-
dc.relation.isPartOfJournal of the Korean Association Traumatology (대한외상학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleUsefulness of Shock Index to Predict outcomes of Trauma Patient: a retrospective Cohort Study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorMyoung Jun Kim-
dc.contributor.googleauthorJung Yun Park-
dc.contributor.googleauthorMi Kyoung Kim-
dc.contributor.googleauthorJae Gil Lee-
dc.identifier.doi10.20408/jti.2018.034-
dc.contributor.localIdA05455-
dc.contributor.localIdA05711-
dc.contributor.localIdA05711-
dc.contributor.localIdA03070-
dc.contributor.localIdA03070-
dc.relation.journalcodeJ01809-
dc.identifier.eissn2287-1683-
dc.subject.keywordShock index-
dc.subject.keywordTrauma-
dc.subject.keywordMortality-
dc.subject.keywordBiomarkers-
dc.contributor.alternativeNameKim, Myung Jun-
dc.contributor.affiliatedAuthor김명준-
dc.contributor.affiliatedAuthor김미경-
dc.contributor.affiliatedAuthor김미경-
dc.contributor.affiliatedAuthor이재길-
dc.contributor.affiliatedAuthor이재길-
dc.citation.volume32-
dc.citation.number1-
dc.citation.startPage17-
dc.citation.endPage25-
dc.identifier.bibliographicCitationJournal of the Korean Association Traumatology (대한외상학회지), Vol.32(1) : 17-25, 2019-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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