2024
Shock Index is a Stronger Predictor of Outcomes in Older Compared to Younger Patients
Rafieezadeh A, Prabhakaran K, Kirsch J, Klein J, Shnaydman I, Bronstein M, Con J, Zangbar B. Shock Index is a Stronger Predictor of Outcomes in Older Compared to Younger Patients. Journal Of Surgical Research 2024, 300: 8-14. PMID: 38788482, DOI: 10.1016/j.jss.2024.04.064.Peer-Reviewed Original ResearchConceptsBlood transfusionSurgical interventionShock indexAssociated with mortalityGroup AGroup CPredictors of unfavorable outcomeGeriatric patientsQuality Improvement Program databaseTrauma Quality Improvement Program databaseRate of group CPredictors of outcomeRetrospective studyYounger patientsUnfavorable outcomeProgram databaseGroup BPrimary outcomeTransfusionSecondary outcomesPatientsSevere traumaMortality rateAge groupsBlood
2020
Delta Shock Index Predicts Outcomes in Pediatric Trauma Patients Regardless of Age
Asmar S, Zeeshan M, Khurrum M, Con J, Chehab M, Bible L, Latifi R, Joseph B. Delta Shock Index Predicts Outcomes in Pediatric Trauma Patients Regardless of Age. Journal Of Surgical Research 2020, 259: 182-191. PMID: 33290893, DOI: 10.1016/j.jss.2020.10.026.Peer-Reviewed Original ResearchConceptsArea under the curvePediatric trauma patientsCox regression analysisTrauma patientsEmergency departmentAssociated with increased in-hospital mortalityReceiver operating characteristic ROC analysisAge groupsLevel III-prognosticIn-Hospital MortalityRegression analysisAge group 0ACS-TQIPOutcome measuresShock indexCutoff pointROC analysisPatientsGroup 0Mortality rateMortalityPredicting OutcomeVital signsCoxAge
2019
The Shock Index is not accurate at predicting outcomes in patients with upper gastrointestinal bleeding
Saffouri E, Blackwell C, Laursen SB, Laine L, Dalton HR, Ngu J, Shultz M, Norton R, Stanley AJ. The Shock Index is not accurate at predicting outcomes in patients with upper gastrointestinal bleeding. Alimentary Pharmacology & Therapeutics 2019, 51: 253-260. PMID: 31642558, DOI: 10.1111/apt.15541.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overArea Under CurveBlood TransfusionCohort StudiesEndoscopy, GastrointestinalFemaleGastrointestinal HemorrhageHospitalizationHumansMaleMiddle AgedMortalityPredictive Value of TestsPrognosisProspective StudiesReproducibility of ResultsRisk AssessmentSeverity of Illness IndexShockSurvival AnalysisUpper Gastrointestinal TractYoung AdultConceptsUpper gastrointestinal bleedingGlasgow-Blatchford scoreShock indexGastrointestinal bleedingABC scoreMajor transfusionAcute upper gastrointestinal bleedingUK National Confidential EnquiryAdmission Rockall scoreSevere gastrointestinal bleedingMajor clinical endpointsPredictors of outcomeNational Confidential EnquiryRockall scoreBlatchford scoreEndoscopic therapyConsecutive patientsHospital admissionConfidential EnquiryProspective studyClinical endpointsPatient outcomesRisk scoreDeath reportsBleedingPre-hospital shock index correlates with transfusion, resource utilization and mortality; The role of patient first vitals
Jehan F, Con J, McIntyre M, Khan M, Azim A, Prabhakaran K, Latifi R. Pre-hospital shock index correlates with transfusion, resource utilization and mortality; The role of patient first vitals. The American Journal Of Surgery 2019, 218: 1169-1174. PMID: 31540684, DOI: 10.1016/j.amjsurg.2019.08.028.Peer-Reviewed Original ResearchConceptsPre-hospital SIShock indexTrauma patientsAdult trauma patientsROC curve analysisSystolic blood pressureTQIP databasePatient triageTransfusion requirementsResource utilizationMassive transfusionMedian ISSMean ageHigher likelihoodOperative interventionBlunt injuryBlood pressurePatientsCurve analysisTransfusionHigher mortalityInterventionMortalityHeart-rateResource recruitment
2018
Shock Index Predicts Patient‐Related Clinical Outcomes in Stroke
Myint P, Sheng S, Xian Y, Matsouaka R, Reeves M, Saver J, Bhatt D, Fonarow G, Schwamm L, Smith E. Shock Index Predicts Patient‐Related Clinical Outcomes in Stroke. Journal Of The American Heart Association 2018, 7: e007581. PMID: 30371191, PMCID: PMC6222962, DOI: 10.1161/jaha.117.007581.Peer-Reviewed Original ResearchConceptsShock indexClinical outcomesWorse outcomesPatient-related clinical outcomesHealth Stroke ScaleBlood pressure componentsAcute stroke casesRankin Scale scoreSystolic blood pressureUseful prognostic indicatorMortality prediction modelIndividual stroke subtypesLinear spline modelsHospital mortalityHospital outcomesHospital stayStroke ScaleAcute strokeDischarge destinationBlood pressureStroke subtypesPoint of carePoor outcomePrognostic valueStroke casesS18. Hypotension after ketamine administration for refractory status epilepticus in patients at risk of shock
Sheikh Z, Owusu K, Ammar A, Landreneau M, Heck C, Gilmore E. S18. Hypotension after ketamine administration for refractory status epilepticus in patients at risk of shock. Clinical Neurophysiology 2018, 129: e149. DOI: 10.1016/j.clinph.2018.04.378.Peer-Reviewed Original ResearchRefractory status epilepticusStatus epilepticusEjection fractionApical hypokinesisShock indexMidazolam infusionDay 7Middle cerebral artery strokeAcute rehabilitation facilityDiscontinuation of ketamineDiscontinuation of vasopressorsElevated shock indexHospital day 7Improved ejection fractionInitiation of vasopressorsPotential hemodynamic effectsUse of vasopressorsChronic kidney diseaseAnti-seizure drugsUse of ketamineDoses of norepinephrineFocal clonic seizuresRisk of shockHemodynamic profileBeta blockers
2014
The Shock Index as a Predictor of Vasopressor Use in Emergency Department Patients with Severe Sepsis
Wira CR, Francis MW, Bhat S, Ehrman R, Conner D, Siegel M. The Shock Index as a Predictor of Vasopressor Use in Emergency Department Patients with Severe Sepsis. Western Journal Of Emergency Medicine 2014, 15: 60-66. PMID: 24696751, PMCID: PMC3952891, DOI: 10.5811/westjem.2013.7.18472.Peer-Reviewed Original ResearchConceptsSevere sepsisEmergency departmentVasopressor useCardiovascular collapseOrgan failureElevation groupEscalation of careEmergency department patientsCross-sectional studySepsis registryVasopressor dependenceED admissionDepartment patientsInitial presentationShock indexED patientsRisk stratificationLeading causeUseful modalityPatientsSepsisDisease escalationEarly identificationMean numberHigh rate
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