How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

6,531 results for

Shock Index

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Age shock index, shock index, and modified shock index for predicting postintubation hypotension in the emergency department. (Abstract)

Age shock index, shock index, and modified shock index for predicting postintubation hypotension in the emergency department. Hypotension after emergent ETI is a relatively common complication during and after emergency airway management. We aimed to evaluate SI, MSI, and age SI to predict PIH in patients who presented to the emergency department. Moreover, which factors would be better for predicting the event or similar to the others.A retrospective, standardized chart review of consecutive (...) for prediction of PIH was better than MSI and SI (p = 0.006 for age SI versus MSI, p = 0.005 for age SI versus SI).Preintubation age SI, MSI, and SI are all independent predictors of PIH in patients who need emergent intubation. Aong these parameters, age SI is the best marker to predict the outcome. Calculation of these indexes are simple and could be an guide of implement to prevent hypotension after ETI.Copyright © 2019 Elsevier Inc. All rights reserved.

2019 American Journal of Emergency Medicine

2. Prehospital shock index to assess 28-day mortality for septic shock (Abstract)

Prehospital shock index to assess 28-day mortality for septic shock In the prehospital setting, early identification of septic shock (SS) with high risk of mortality aims to initiate early treatments and to decide delivery unit (emergency department (ED) or intensive care unit (ICU)). In this context, there is a need for a prognostic measure of severity and death in order to early detect patients with a higher risk of pejorative evolution. In this study, we describe the association between (...) prehospital shock index (SI) and mortality at day 28 of patients with SS initially cared for in the prehospital setting by a mobile intensive care unit (MICU).Patients with SS cared for by a MICU between January 2016 and May 2019 were retrospectively analyzed. Using propensity score, the association between SI and mortality was assessed by Odd Ratio (OR) with 95 percent confidence interval [95 CI].One-hundred and fourteen patients among which 78 males (68%) were analysed. The mean age was 71 ± 14 years

2020 EvidenceUpdates

3. Pattern and Distribution of Shock Index and Age Shock Index Score Among Trauma Patients in Towards Improved Trauma Care Outcomes (TITCO) Dataset Full Text available with Trip Pro

Pattern and Distribution of Shock Index and Age Shock Index Score Among Trauma Patients in Towards Improved Trauma Care Outcomes (TITCO) Dataset To compare the shock index (SI - which is the ratio of heart rate to systolic blood pressure) and Age SI (Age in years multiplied by SI) with survival outcome of the patients across multicenter trauma registry in India.Study is based on Towards Improved Trauma Care Outcomes (TITCO) project. Records with valid details of age, heart rate, systolic blood (...) pressure, Injury Severity Scale (ISS) and Glasgow Coma Scale (GCS) score was considered. SI was categorized into four groups; Group I (SI<0.6) as no shock, group II (SI ≥0.6 to <1.0) as mild shock, group III (SI ≥1.0 to <1.4) as moderate shock and group IV (SI ≥1.4) as severe shock. Age SI was categorized decade wise into six groups. Mortality was dependent variable. GCS and ISS were considered as secondary variables.10843 participants from TITCO registry satisfying inclusion-exclusion criteria were

2018 Bulletin of emergency & trauma

4. Respiratory adjusted shock index for identifying occult shock and level of Care in Sepsis Patients. (Abstract)

Respiratory adjusted shock index for identifying occult shock and level of Care in Sepsis Patients. Early identification of shock allows for timely resuscitation. Previous studies note the utility of bedside calculations such as the shock index (SI) and quick sepsis-related organ failure assessment (qSOFA) to detect occult shock. Respiratory rate may also be an important marker of occult shock. The goal of our study was to evaluate whether using a modified SI with respiratory rate would improve (...) identification of emergency department sepsis patients admitted to an ICU or stepdown unit.A prospective, observational cohort study of the respiratory adjusted shock index (RASI), defined as HR/SBP × RR/10, was conducted. RASI was calculated from triage vital signs and compared to serum lactate. Primary outcome was admission to a higher level of care defined as ICU or stepdown unit. A multivariable logistic regression model including RASI, SI, lactate, age and sex was performed with disposition

2019 American Journal of Emergency Medicine

5. Shock index as a predictor of hospital admission and inpatient mortality in a US national database of emergency departments (Abstract)

Shock index as a predictor of hospital admission and inpatient mortality in a US national database of emergency departments The shock index (SI), defined as the ratio of the heart rate (HR) to the systolic blood pressure (BP), is used as a prognostic tool in trauma and in specific disease states. However, there is scarcity of data about the utility of the SI in the general emergency department (ED)population. Our goal was to use a large national database of EDs in the United States (US

2019 EvidenceUpdates

6. The value of shock index in prediction of cardiogenic shock developed during primary percutaneous coronary intervention. Full Text available with Trip Pro

The value of shock index in prediction of cardiogenic shock developed during primary percutaneous coronary intervention. Shock index(SI) is a conventional predictive marker for haemodynamic state. Its breakpoint varies by different conditions according to previous studies. The current study was performed to evaluate the capability of SI in prediction of cardiogenic shock(CS) developed during primary percutaneous coronary intervention (pPCI).Total 870 patients of ST segment elevation myocardial (...) at the cutoff value of 0.93 was 53.8%, 93.2% and 88.9% respectively.SI has a high predictive accuracy for developing CS during pPCI in STEMI patients. It is an excellent exclusion diagnosis index rather than confirmative diagnosis index.

2018 BMC Cardiovascular Disorders

7. Shock index increase from the field to the emergency room is associated with higher odds of massive transfusion in trauma patients with stable blood pressure: A cross-sectional analysis. Full Text available with Trip Pro

Shock index increase from the field to the emergency room is associated with higher odds of massive transfusion in trauma patients with stable blood pressure: A cross-sectional analysis. The shock index (SI) is defined as the ratio of heart rate/systolic blood pressure. This study aimed to determine the performance of delta shock index (ΔSI), a difference between SI upon arrival at the emergency room (ER) and that in the field, in predicting the need for massive transfusion (MT) among adult

2019 PLoS ONE

8. Shock index and heart rate standard reference values in the immediate postpartum period: A cohort study. Full Text available with Trip Pro

Shock index and heart rate standard reference values in the immediate postpartum period: A cohort study. To determine Shock Index (SI) reference values in the first two hours of the postpartum period after objectively measuring postpartum bleeding.A complementary analysis using data from a prospective cohort study at Women's Hospital of the University of Campinas, Brazil, between 1 February 2015 and 31 March 2016. It included women giving birth vaginally unless they had one of these conditions

2019 PLoS ONE

9. A prospective observational study to explore the correlation of peripheral arterial pulse/resistance index, organ function, and inflammation in patients with septic shock. Full Text available with Trip Pro

A prospective observational study to explore the correlation of peripheral arterial pulse/resistance index, organ function, and inflammation in patients with septic shock. The evaluation of the functional status of blood vessels, especially the arterial system, plays a very important role in the judgment of the condition of septic shock patients and the guidance of resuscitation programs and the judgment of the therapeutic effect. We aimed to design an observational study protocol to explore (...) the correlation of peripheral arterial pulse/resistance index, organ function and inflammation in patients with septic shock.A total of 60 patients with septic shock in the Affiliated Hospital of Southwest Medical University from June 2020 to September 2020 and 20 healthy volunteers will be enrolled. Total of 60 patients with septic shock will be randomly divided into 20 groups by lot method. Group 1: fluid resuscitation; Group 2: fluid resuscitation + norepinephrine; Group 3: fluid resuscitation

2020 Medicine

10. HDL inflammatory index correlates with and predicts severity of organ failure in patients with sepsis and septic shock. Full Text available with Trip Pro

HDL inflammatory index correlates with and predicts severity of organ failure in patients with sepsis and septic shock. High density lipoprotein (HDL) is important for defense against sepsis but becomes dysfunctional (Dys-HDL) during inflammation. We hypothesize that Dys-HDL correlates with organ dysfunction (sequential organ failure assessment (SOFA) score) early sepsis.A prospective cohort study of adult ED sepsis patients enrolled within 24 hours.Eighty eight patients were analyzed. Dys-HDL (...) (expressed as HDL inflammatory index (HII)) correlated with SOFA at enrollment (r = 0.23, p = 0.024) and at 48 hours (r = 0.24, p = 0.026) but HII change over the first 48 hours did not correlate with change in SOFA (r = 0.06, p = 0.56). Enrollment HII was significantly different in patients with most severe organ failure (2.31, IQR 1.33-5.2) compared to less severe organ failure (1.81, IQR 1.23-2.64, p = 0.043). Change in HII over 48 hours was significantly different for in-hospital non-survivors (-0.45

2018 PLoS ONE

11. Shock index and pediatric specific shock index

Shock index and pediatric specific shock index Shock index and pediatric specific shock index – All About Cardiovascular System and Disorders Now Trending: | June 6, 2018 | | Shock index and pediatric specific shock index Shock index is a simple bedside measure introduced by Allgower and associates [1] as early as 1967. Shock index is the ratio of heart rate to systolic blood pressure. Normal range of shock index is between 0.5 and 0.7 in healthy adults . Shock index of 1.0 or more indicates (...) a poor prognosis in acute circulatory failure. Shock index of >0.9 predicts mortality in adult trauma patients. Acker SN and colleagues have developed a pediatric specific shock index: SIPA: Shock index, pediatric age adjusted [2]. SIPA is defined by maximum normal heart rate and minimum normal systolic blood pressure by age. The cut off for children were: Age 4-6: >1.22 Age 7-12: >1.0 Age 13-16: >0.9 In their retrospective review of around five hundred and fifty children presenting with trauma, 50

2018 Cardiophile MD blog

12. Shock index and modified shock index for prediction of myocardial damage and clinical outcome of STEMI

Shock index and modified shock index for prediction of myocardial damage and clinical outcome of STEMI Shock index and modified shock index for prediction of myocardial damage and clinical outcome of STEMI – All About Cardiovascular System and Disorders Now Trending: | June 6, 2018 | | Shock index and modified shock index for prediction of myocardial damage and clinical outcome of STEMI is the ratio of heart rate to systolic blood pressure which allows rapid bedside risk stratification [1 (...) ]. Modified shock index is the ratio of heart rate to mean arterial pressure [2]. Reinstadler SJ et al [2] used these indices to predict the myocardial damage and clinical outcome of ST segment elevation myocardial infarction (STEMI). They found that STEMI patients with elevated shock index had more severe myocardial and microvascular damage and it was associated with major adverse cardiac events (MACE) at 1 year. This multicenter study analyzed around eight hundred patients dichotomized to an admission

2018 Cardiophile MD blog

13. Age-adjusted shock index: From injury to arrival. (Abstract)

Age-adjusted shock index: From injury to arrival. Studies have demonstrated the superiority of the shock index, pediatric age-adjusted (SIPA) in predicting outcomes in pediatric blunt trauma patients. However, all have utilized SIPA calculated on emergency department (ED) arrival. We sought to evaluate the utility of SIPA at the trauma scene and describe changes in SIPA from the trauma scene to the ED.We used 2014-2016 Trauma Quality Improvement Program Data to identify blunt trauma patients 1

2019 Journal of Pediatric Surgery

14. Utilization of Age-Adjusted Shock Index in a Resource-Strained Setting. (Abstract)

Utilization of Age-Adjusted Shock Index in a Resource-Strained Setting. Identification of injury severity and appropriate triage are critical to effective surgical care, especially where medical and surgical resources are strained. We hypothesized that pediatric age-adjusted shock index (SIPA) would outperform traditional shock index (SI) in a middle-income country (MIC) setting.Injured children hospitalized in two trauma centers (South Africa and the United States) from 2012 to 2017 were

2019 Journal of Pediatric Surgery

15. Application of pulse index continuous cardiac output system in elderly patients with acute myocardial infarction complicated by cardiogenic shock: A prospective randomized study. Full Text available with Trip Pro

Application of pulse index continuous cardiac output system in elderly patients with acute myocardial infarction complicated by cardiogenic shock: A prospective randomized study. Cardiogenic shock (CS) secondary to acute myocardial infarction (AMI) complicates management of the condition, and often leads to poor prognosis. Prompt and accurate monitoring of cardiovascular and accompanying hemodynamic changes is crucial in achieving adequate management of the condition. Advances in technology has (...) availed procedures such as pulse index continuous cardiac output (PiCCO), which can offer precise monitoring of cardiovascular functions and hemodynamic parameters. In this study, PiCCO is evaluated for its potential utility in improving management and clinical outcomes among elderly patients with AMI complicated by CS.To assess whether use of the PiCCO system can improve clinical outcomes in elderly patients with AMI complicated by CS.Patients from emergency intensive care units (EICU) or coronary

2019 World journal of clinical cases Controlled trial quality: uncertain

16. Pre-hospital modified shock index for prediction of massive transfusion and mortality in trauma patients. (Abstract)

Pre-hospital modified shock index for prediction of massive transfusion and mortality in trauma patients. Modified shock index (MSI) is a useful predictor in trauma patients. However, the value of prehospital MSI (preMSI) in trauma patients is unknown. The aim of this study was to investigate the accuracy of preMSI in predicting massive transfusion (MT) and hospital mortality among trauma patients.This was a retrospective, observational, single-center study. Patients presenting consecutively (...) to the trauma center between January 2016 and December 2017, were included. The predictive ability of both prehospital shock index (preSI) and preMSI for MT and hospital mortality was assessed by calculating the areas under the receiver operating characteristic curves (AUROCs).A total of 1007 patients were included. Seventy-eight (7.7%) patients received MT, and 30 (3.0%) patients died within 24 h of admission to the trauma center. The AUROCs for predicting MT with preSI and preMSI were 0.773 (95

2019 American Journal of Emergency Medicine

17. Shock index thresholds to predict adverse outcomes in maternal hemorrhage and sepsis: a prospective cohort study. Full Text available with Trip Pro

Shock index thresholds to predict adverse outcomes in maternal hemorrhage and sepsis: a prospective cohort study. Shock Index (SI) is a predictor of hemodynamic compromise in obstetric patients. The Shock Index threshold for action is not well understood. We aimed to evaluate Shock Index thresholds as predictors of outcomes in obstetric patients.We undertook a prospective cohort study at three South African hospitals of women with postpartum hemorrhage (n=283) or maternal sepsis (n=126 (...) ). The 'first' and 'worst' SI following diagnosis were recorded. SI was compared to conventional vital signs as predictors of outcomes. The performance of SI<0.9, SI 0.9-1.69, SI≥1.7 to predict outcomes (maternal death; Critical Care Unit admission; major procedure; hysterectomy; hemorrhage-specific outcomes (lowest hemoglobin<70g/L; blood transfusion≥4iu) were evaluated.'First' Shock Index was one of two best performing vital signs for every outcome in postpartum hemorrhage and sepsis. In hemorrhage, risk

2019 Acta Obstetricia et Gynecologica Scandinavica

18. Shock Index as a Predictor of Morbidity and Mortality in Pediatric Trauma Patients. (Abstract)

Shock Index as a Predictor of Morbidity and Mortality in Pediatric Trauma Patients. Compared with unadjusted shock index (SI) (heart rate/systolic blood pressure), age-adjusted SI improves identification of negative outcomes after injury in pediatric patients. We aimed to further evaluate the utility of age-adjusted SI to predict negative outcomes in pediatric trauma.We performed an analysis of patients younger than 15 years using the National Trauma Data Bank. Elevated SI was defined as high

2019 Pediatric Emergency Care

19. Shock index, modified shock index, and age shock index for prediction of mortality in Emergency Severity Index level 3. (Abstract)

Shock index, modified shock index, and age shock index for prediction of mortality in Emergency Severity Index level 3. To elucidate the predictive capability of shock index (SI), modified SI (MSI), and age SI for mortality in patients assigned to Emergency Severity Index (ESI) level 3 patients.This was a retrospective medical record review performed in an academic internal medicine emergency department in Kerman, Iran. All patients older than 14 years triaged to ESI level 3 were enrolled

2016 American Journal of Emergency Medicine

20. Association of triage time Shock Index, Modified Shock Index, and Age Shock Index with mortality in Emergency Severity Index level 2 patients. Full Text available with Trip Pro

Association of triage time Shock Index, Modified Shock Index, and Age Shock Index with mortality in Emergency Severity Index level 2 patients. Shock Index (SI) is considered to be a predictor of mortality in many medical and trauma settings. Many studies have shown its superiority to conventional vital sign measurements in mortality prediction.The objectives were to compare mortality and intensive care unit admission prediction of triage time SI, Modified SI (MSI), and Age SI with each other (...) and with triage time blood pressure in Emergency Severity Index (ESI) level 2 patients.A retrospective medical record review was performed in the internal medicine emergency department of a general hospital in Kerman, Iran. Triage time vital signs were used to calculate the indices. Multivarible regression analysis was used to create the final model.A total of 1285 patients triaged to ESI level 2 were enrolled in the study. In the multivariate analysis, SI, MSI, and Age SI were found to be the only variables

2015 American Journal of Emergency Medicine

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>