Evidence map›Paper›PMID 42659495›Full record

ArticleRevista brasileira de enfermagem2026

Mortality prediction using the Shock Index and Modified Shock Index in the Emergency Department.

Karoline Maciel Lopes, Marcos Barragan da Silva, Juciane Aparecida Furlan Inchauspe, Cristiano Rossa da Rocha, Débora Ribas Leal, Tais Hochegger, Isabelle Muradás Paim, Michelle Dornelles Santarem

Abstract read
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Article in Revista brasileira de enfermagem, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Karoline Maciel LopesUniversidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0009-0000-2271-8003
Marcos Barragan da SilvaServiço de Emergência do Hospital de Clínicas de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-6476-9746
Juciane Aparecida Furlan InchauspeUniversidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-2386-1378
Cristiano Rossa da RochaServiço de Emergência do Hospital de Clínicas de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-4808-2733
Débora Ribas LealUniversidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0009-0007-8792-3850
Tais HocheggerUniversidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0001-6297-3578
Isabelle Muradás PaimUniversidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0009-0009-4858-642X
Michelle Dornelles SantaremUniversidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-7046-7007

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesto compare the Shock Index and the Modified Shock Index in predicting in-hospital mortality among patients diagnosed with shock and admitted to the Emergency Department.

methodsa retrospective cohort (2022), including patients ≥18 years. The predictive ability was estimated using areas under the curve, sensitivity, and specificity, considering shock etiologies.

results365 patients were included, (25.5 cases per 1,000 visits), mortality (75.3%), with a worse initial hemodynamic profile. Septic shock (69%) and hypovolemic shock (13.2%) predominated. The Shock Index demonstrated better areas under de curve in mixed (0.706) and septic (0.700) shock. The Modified Shock Index showed superiority in mixed (0.735), septic (0.700), and cardiogenic (0.700) shock, standing out in septic shock (sensitivity 96.0%; specificity 86.3%).

conclusionsthe Modified Shock Index demonstrated greater predictive ability for mortality, suggesting its usefulness in nursing clinical practice.

Indexed as

Hospital MortalitySeverity of Illness IndexShockAgedArea Under CurveCohort StudiesEmergency Service, HospitalFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesROC CurveShock, Septic

Identifiers

PMID42659495
PMCPMC13506213

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.