ArticleJournal of emergencies, trauma, and shock
Extremes of shock index predicts death in trauma patients.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shock index as a predictor for mortality in trauma patients: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Factors associated with a positive shock index in the prehospital setting after major trauma.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Using shock index, pediatric age adjusted (SIPA) to predict prolonged length of stay in perforated appendicitis: a retrospective review.Pediatric surgery international · 2024Article
- Emergency cesarean section in pregnant trauma patients presenting after motor vehicle collision.Heliyon · 2024Article
- Traumatic brain injury and variants of shock index.World journal of critical care medicine · 2024Article
- Role of glucose/potassium ratio and shock index in predicting mortality in patients with isolated thoracoabdominal blunt trauma.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Observational
- Shock index, modified shock index, age shock index score, and reverse shock index multiplied by Glasgow Coma Scale predicting clinical outcomes in traumatic brain injury: Evidence from a 10-year analysis in a single center.Frontiers in medicine · 2022Article
- Equivalency between the shock index and subtracting the systolic blood pressure from the heart rate: an observational cohort study.BMC emergency medicine · 2020Observational
- Article
- Observational
- Shock index in patients with traumatic solid organ injury as a predictor of massive blood transfusion protocol activation.Injury epidemiology · 2019Article
- Shock index in the emergency department: utility and limitations.Open access emergency medicine : OAEM · 2019Article
- Muscle Oxygenation as an Early Predictor of Shock Severity in Trauma Patients.Shock (Augusta, Ga.) · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextWe noted a bimodal relationship between mortality and shock index (SI), the ratio of heart rate to systolic blood pressure.
aimsTo determine if extremes of SI can predict mortality in trauma patients. SETTINGS AND DESIGNS: Retrospective evaluation of adult trauma patients at a tertiary care center from 2000 to 2012 in the United States. MATERIALS AND
methodsWe examined the SI in trauma patients and determined the adjusted mortality for patients with and without head injuries. STATISTICAL ANALYSIS USED: Descriptive statistics and multivariable logistic regression.
resultsSI values demonstrated a U-shaped relationship with mortality. Compared with patients with a SI between 0.5 and 0.7, patients with a SI of <0.3 had an odds ratio for death of 2.2 (95% confidence interval [CI] 21.2-4.1) after adjustment for age, Glasgow Coma score, and injury severity score while patients with SI >1.3 had an odds ratio of death of 3.1. (95% CI 1.6-5.9). Elevated SI is associated with increased mortality in patients with isolated torso injuries, and is associated with death at both low and high values in patients with head injury.
conclusionOur data indicate a bimodal relationship between SI and mortality in head injured patients that persists after correction for various co-factors. The distribution of mortality is different between head injured patients and patients without head injuries. Elevated SI predicts death in all trauma patients, but low SI values only predict death in head injured patients.
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