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Usefulness of Shock Index to Predict outcomes of Trauma Patient: a retrospective Cohort Study
DC Field | Value | Language |
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dc.contributor.author | 김명준 | - |
dc.contributor.author | 김미경 | - |
dc.contributor.author | 이재길 | - |
dc.date.accessioned | 2019-05-29T05:18:08Z | - |
dc.date.available | 2019-05-29T05:18:08Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 1738-8767 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/169517 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한외상학회 | - |
dc.relation.isPartOf | Journal of the Korean Association Traumatology (대한외상학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Usefulness of Shock Index to Predict outcomes of Trauma Patient: a retrospective Cohort Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Myoung Jun Kim | - |
dc.contributor.googleauthor | Jung Yun Park | - |
dc.contributor.googleauthor | Mi Kyoung Kim | - |
dc.contributor.googleauthor | Jae Gil Lee | - |
dc.identifier.doi | 10.20408/jti.2018.034 | - |
dc.contributor.localId | A05455 | - |
dc.contributor.localId | A05711 | - |
dc.contributor.localId | A03070 | - |
dc.relation.journalcode | J01809 | - |
dc.identifier.eissn | 2287-1683 | - |
dc.subject.keyword | Shock index | - |
dc.subject.keyword | Trauma | - |
dc.subject.keyword | Mortality | - |
dc.subject.keyword | Biomarkers | - |
dc.contributor.alternativeName | Kim, Myung Jun | - |
dc.contributor.affiliatedAuthor | 김명준 | - |
dc.contributor.affiliatedAuthor | 김미경 | - |
dc.contributor.affiliatedAuthor | 이재길 | - |
dc.citation.volume | 32 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 17 | - |
dc.citation.endPage | 25 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Association Traumatology (대한외상학회지), Vol.32(1) : 17-25, 2019 | - |
dc.identifier.rimsid | 63067 | - |
dc.type.rims | ART | - |
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