ArticleInternational journal of environmental research and public health2018
The Reverse Shock Index Multiplied by Glasgow Coma Scale Score (rSIG) and Prediction of Mortality Outcome in Adult Trauma Patients: A Cross-Sectional Analysis Based on Registered Trauma Data.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shock index as predictor of massive transfusion and mortality in patients with trauma: a systematic review and meta-analysis.Critical care (London, England) · 2023Pooled it
- Evaluating trauma burden and predictive value of reverse shock index Glasgow Coma scale (rSIG) in need for early transfusion and mortality: The largest prospective study from India.Turkish journal of surgery · 2026Article
- Sepsis prognosis in the emergency department: assessment of shock indices, SOFA, qSOFA, and lactate.International journal of emergency medicine · 2026Article
- Prognostic value of circulating neuron-specific enolase combined with erythrocyte and platelet distribution indices in patients with severe traumatic brain injury.Journal of medical biochemistry · 2026Article
- Predictive value of the reverse shock index multiplied by glasgow coma scale score for mortality in ICU heatstroke patients: a multicenter study.Scientific reports · 2026Observational
- Lower admission reverse shock index multiplied by Glasgow coma scale score is associated with early hematoma expansion in spontaneous intracerebral hemorrhage.Frontiers in neurology · 2026Article
- Reverse shock index multiplied by Glasgow Coma Scale score as a predictor of urgent trauma care and mortality in isolated severe traumatic brain injury: a 10-year nationwide validation study.BMC emergency medicine · 2025Article
- Reverse shock index multiplied by simplified motor score as an indicator of clinical outcomes in patients with abdominal trauma in the emergency department: a retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- Predictive performance of prehospital trauma triage tools for resuscitative interventions within 24 hours in high-risk or life-threatening prehospital trauma patients.BMC emergency medicine · 2025Article
- rSIG combined with NLR in the prognostic assessment of patients with multiple injuries.Open medicine (Warsaw, Poland) · 2025Article
- Comparison of the Reverse Shock Index Multiplied by Glasgow Coma Scale Score, MEWS, and qSOFA as Sepsis Screening Tools for Predicting Short-Term Outcomes.Open access emergency medicine : OAEM · 2025Article
- Cutoff of the reverse shock index multiplied by the Glasgow coma scale for predicting in-hospital mortality in adult patients with trauma: a retrospective cohort study.BMC emergency medicine · 2024Article
- Shock index and its variants as predictors of mortality in severe traumatic brain injury.World journal of critical care medicine · 2024Article
- Reverse shock index multiplied by simplified motor score as a predictor of clinical outcomes for patients with COVID-19.BMC emergency medicine · 2024Article
- Reverse shock index (RSI) as a predictor of post-intubation cardiac arrest (PICA).International journal of emergency medicine · 2023Article
- Performance of severity indices for admission and mortality of trauma patients in the intensive care unit: a retrospective cohort study.European journal of medical research · 2023Article
- The reverse shock index multiplied by the Glasgow Coma Scale score can predict the need for initial resuscitation in patients suspected of sepsis.Global health & medicine · 2023Article
- Vital indicators in predicting burn mortality: A comparison of shock indices and burn shock indices.Turkish journal of medical sciences · 2023Article
- From Death Triad to Death Tetrad-The Addition of a Hypotension Component to the Death Triad Improves Mortality Risk Stratification in Trauma Patients: A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2022Article
- Prognostic Value of Serum Procalcitonin Based Model in Moderate to Severe Traumatic Brain Injury Patients.Journal of inflammation research · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The reverse shock index (rSI) multiplied by Glasgow Coma Scale (GCS) score (rSIG), calculated by multiplying the GCS score with systolic blood pressure (SBP)/hear rate (HR), was proposed to be a reliable triage tool for identifying risk of in-hospital mortality in trauma patients. This study was designed to externally validate the accuracy of the rSIG in the prediction of mortality in our cohort of trauma patients, in comparison with those that were predicted by the Revised Trauma Score (RTS), shock index (SI), and Trauma and Injury Severity Score (TRISS). Adult trauma patients aged ≥20 years who were admitted to the hospital from 1 January 2009 to 31 December 2017, were included in this study. The rSIG, RTS, and SI were calculated according to the initial vital signs and GCS scores of patients upon arrival at the emergency department (ED). The end-point of primary outcome is in-hospital mortality. Discriminative power of each score to predict mortality was measured using area under the curve (AUC) by plotting the receiver operating characteristic (ROC) curve for 18,750 adult trauma patients, comprising 2438 patients with isolated head injury (only head Abbreviated Injury Scale (AIS) ≥ 2) and 16,312 without head injury (head AIS ≤ 1). The predictive accuracy of rSIG was significantly lower than that of RTS in all trauma patients (AUC 0.83 vs. AUC 0.85,
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