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Shock Index

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181. Heat shock protein 70 protects the quail cecum against oxidant stress, inflammatory injury, and microbiota imbalance induced by cold stress. (PubMed)

Heat shock protein 70 protects the quail cecum against oxidant stress, inflammatory injury, and microbiota imbalance induced by cold stress. The intent of this study was to investigate the effects of cold stress on oxidative indexes, inflammatory factors, and microbiota in the quail cecum. A total of 192 male quails (15-day-old) were randomly divided into 12 groups (16 in each group) and were exposed to acute (up to 12 h) and chronic (up to 20 D) cold stress at 12 ± 1°C. After cold stress (...) treatment, we examined morphological damage, oxidative stress indexes, inflammatory factors, and intestinal microbiota. Results of morphological examination showed that both acute and chronic cold stress can lead to cecal tissue injury. In addition, both acute and chronic cold stress, especially chronic cold stress can influence the activity of oxidative stress mediators. Glutathione (GSH) and glutathione peroxidase (GSH-Px) activities decreased significantly (p < 0.05), while the nitric oxide

2019 Poultry science Controlled trial quality: uncertain

182. The effect of cardiac shock wave therapy on myocardial function and perfusion in the randomized, triple-blind, sham-procedure controlled study. (PubMed)

The effect of cardiac shock wave therapy on myocardial function and perfusion in the randomized, triple-blind, sham-procedure controlled study. Recent triple-blind sham procedure-controlled study revealed neutral effects of the cardiac shock wave therapy (CSWT) on exercise tolerance and symptoms in patients with stable angina. Current data about the effects of CSWT on global and regional myocardial contractility and perfusion is limited. Hereby we report the results of an imaging sub-study (...) ischemia tests were performed in 59 study patients: DSE and SPECT before the CSWT treatment and after 6 months, with DSE carried out additionally at 3 months after randomization. Co-primary endpoints of the study were: change in wall motion score index (WMSI), representing the stress-induced impairment of regional myocardial function, and change in summed difference score (SDS), representing the amount of perfusion defect.OMT + CSWT and OMT + sham procedure study groups included 30 and 29 patients

2019 Cardiovascular ultrasound Controlled trial quality: uncertain

183. Comments on GEDI vs. CVP goal-directed fluid resuscitation for COPD patients with septic shock: A randomized controlled trial. (PubMed)

0735-6757 IM Global end-diastolic volume index (GEDI) Sepsis Septic shock 2019 02 18 2019 02 27 2019 3 25 6 0 2019 3 25 6 0 2019 3 26 6 0 ppublish 30905478 S0735-6757(19)30145-7 10.1016/j.ajem.2019.02.041 (...) Comments on GEDI vs. CVP goal-directed fluid resuscitation for COPD patients with septic shock: A randomized controlled trial. 30905478 2019 08 26 1532-8171 37 9 2019 Sep The American journal of emergency medicine Am J Emerg Med Comments on GEDI vs. CVP goal-directed fluid resuscitation for COPD patients with septic shock: A randomized controlled trial. 1793-1794 S0735-6757(19)30145-7 10.1016/j.ajem.2019.02.041 Feng Wenwei W Department of Cardiology, Dongguan Traditional Chinese Medicine

2019 The American journal of emergency medicine Controlled trial quality: predicted high

184. The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial. (PubMed)

The effects of shock wave and dry needling on active trigger points of upper trapezius muscle in patients with non-specific neck pain: A randomized clinical trial. Chronic neck pain is associated with various myofascial trigger points (MTrPs).A single-blind randomized clinical trial was designed to compare the effects of extracorporeal shock wave therapy (ESWT) with dry needling (DN) techniques on the upper trapezius muscle trigger point in patients with non-specific neck pain (NSNP).Seventy (...) patients with NSNP and active MTrPs of the upper trapezius muscle were randomly divided into two groups: an ESWT group (n= 35) and a DN group (n= 35). Treatment sessions were performed for three weeks and all participants received related intervention once a week. The outcome measures were pain intensity, measured by a numeric pain rating scale (NPRS), pain pressure threshold (PPT), measured with a digital algometer, and functional disability, evaluated by using the neck disability index (NDI).NPRS

2019 Journal of back and musculoskeletal rehabilitation Controlled trial quality: uncertain

185. Effect of JJ stent on outcomes of extracorporeal shock wave lithotripsy treatment of moderate sized renal pelvic stones: A randomized prospective study. (PubMed)

Effect of JJ stent on outcomes of extracorporeal shock wave lithotripsy treatment of moderate sized renal pelvic stones: A randomized prospective study. To evaluate the effect of JJ stents on SWL treatment of moderate (15-25mm) renal pelvic stones.Between January 2016 and December 2017, a total of 152 adult patients who were planned to undergo SWL for a single radiopaque renal pelvic stone were included in the study. Patients with solitary kidney, congenital abnormality, skeletal tract (...) difference in terms of age, sex, body mass index, renal parancyhimal thickness, hydronephrosis, skin-to-stone distance, Hounsfield units, and stone size between the groups. Success was significantly higher in the stented group than in the non-stented group (71% vs. 39%, P=.002). In stone-free patients, the number of emergency department visits and analgesic tablet consumption was significantly lower in the stented group than in the non-stented group (P<.001 and P<.001, respectively). In non- stone-free

2019 Actas urologicas espanolas Controlled trial quality: uncertain

186. Comparison of extracorporeal shock wave therapy with custom foot orthotics in plantar fasciitis treatment: A prospective randomized one-year follow-up study. (PubMed)

Comparison of extracorporeal shock wave therapy with custom foot orthotics in plantar fasciitis treatment: A prospective randomized one-year follow-up study. Plantar fasciitis (PF) is characterized by the degeneration of the plantar fascia, leading to heel pain. We aimed to investigate the effectiveness of extracorporeal shock wave therapy (ESWT) and custom foot orthotics (CFO).The study was planned as a prospective randomized controlled study. In total, 83 patients were evaluated. The patients (...) were divided into two groups: patients treated with ESWT (group I, n=40) and patients treated with CFO (group II, n=43). Visual analogue scale (VAS) was used to evaluate pain in the morning, evening, at rest and while walking. Foot Function Index (FFI) was used to evaluate foot functions, and Foot Health Status Questionnaire (FHSQ) was used to evaluate foot health.Both group I and group II achieved significant improvements in our evaluation parameters (morning and evening pain) at 4, 12 and 24

2019 Journal of musculoskeletal & neuronal interactions Controlled trial quality: uncertain

187. Combining Amplitude Spectrum Area with Previous Shock Information Using Neural Networks Improves Prediction Performance of Defibrillation Outcome for Subsequent Shocks in Out-Of-Hospital Cardiac Arrest Patients (PubMed)

is still uncertain.A total of 528 defibrillation shocks from 199 patients experienced out-of-hospital cardiac arrest were analyzed in this study. VF waveform was quantified using amplitude spectrum area (AMSA) from defibrillator's ECG recordings prior to each shock. Combinations of AMSA with previous shock index (PSI) or/and change of AMSA (ΔAMSA) between successive shocks were exercised through a training dataset including 255shocks from 99patientswith neural networks. Performance of the combination (...) Combining Amplitude Spectrum Area with Previous Shock Information Using Neural Networks Improves Prediction Performance of Defibrillation Outcome for Subsequent Shocks in Out-Of-Hospital Cardiac Arrest Patients Quantitative ventricular fibrillation (VF) waveform analysis is a potentially powerful tool to optimize defibrillation. However, whether combining VF features with additional attributes that related to the previous shock could enhance the prediction performance for subsequent shocks

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2016 PloS one

188. Radial shock wave treatment alone is less efficient than radial shock wave treatment combined with tissue-specific plantar fascia-stretching in patients with chronic plantar heel pain. (PubMed)

was found between the groups at baseline. At two months after baseline, the Foot Function Index sum score showed significantly greater changes for the patients managed with shock-wave therapy plus plantar fascia-specific stretching than those managed with shock-wave therapy alone (p < 0.001), as well as individually for item 2 (p < 0.001). Twenty-four patients in Group 1 (32%) versus forty-seven patients in Group 2 (59%) were satisfied with the treatment (p < 0.001). Significant differences persisted (...) Radial shock wave treatment alone is less efficient than radial shock wave treatment combined with tissue-specific plantar fascia-stretching in patients with chronic plantar heel pain. Whether shock wave therapy or shock wave therapy combined with plantar fascia-specific stretching is more efficient in treating chronic plantar heel pain remains unclear. The aim of the study was to test the null hypothesis of no difference of these two forms of management for patients who had unilateral plantar

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2016 International journal of surgery (London, England) Controlled trial quality: uncertain

189. Review article: shock index for prediction of critical bleeding post-trauma: a systematic review. (PubMed)

Review article: shock index for prediction of critical bleeding post-trauma: a systematic review. Early diagnosis of haemorrhagic shock (HS) might be difficult because of compensatory mechanisms. Clinical scoring systems aimed at predicting transfusion needs might assist in early identification of patients with HS. The Shock Index (SI) - defined as heart rate divided by systolic BP - has been proposed as a simple tool to identify patients with HS. This systematic review discusses the SI's

2014 Emergency medicine Australasia

190. A simple 5-point scoring system, NaURSE (Na+, urea, respiratory rate and shock index in the elderly), predicts in-hospital mortality in oldest old. (PubMed)

A simple 5-point scoring system, NaURSE (Na+, urea, respiratory rate and shock index in the elderly), predicts in-hospital mortality in oldest old. the mortality is high in acutely ill oldest old patients. Understanding the prognostic factors which influence mortality will help clinicians make appropriate management decisions.we analysed prospective mortality audit data (November 2008 to January 2009) to identify variables associated with in-patient mortality in oldest old. We selected those (...) and 13.8% died as in-patients. Variables (cut-off values) found to be significantly associated with in-patient mortality were admission sodium (>145 mmol/l), urea (≥14 mmol/l), respiratory rate (>20/min) and shock index (>1.0): creating a 5-point score (NaURSE: NaURS in the Elderly). The crude mortality rates were 9.5, 19.9, 34.4, 66.7, and 100% for scores 0, 1, 2, 3 and 4, respectively. Using the cut-off point of ≥2, the NaURSE score has a specificity of 87% (83.1-90.3) and sensitivity of 39% (28.5

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2014 Age and ageing

191. Usefulness of the admission shock index for predicting short-term outcomes in patients with ST-segment elevation myocardial infarction. (PubMed)

Usefulness of the admission shock index for predicting short-term outcomes in patients with ST-segment elevation myocardial infarction. Current risk scores of ST-segment elevation myocardial infarction (STEMI) need sophisticated algorithm and were limited for bedside use. Our study aimed to evaluate the usefulness of admission shock index (SI) for predicting the short-term outcomes in patients with STEMI. Included were 7,187 consecutive patients with STEMI. The admission SI was defined (...) of admission SI for predicting 7- and 30-day all-cause mortality was 0.701 and 0.686, respectively, compared with 0.744 and 0.738 from the Thrombolysis In Myocardial Infarction risk score. In conclusion, admission SI, an easily calculated index at first contact, may be a useful predictor for short-term outcomes especially for acute phase outcomes in patients with STEMI. Copyright © 2014 Elsevier Inc. All rights reserved.

2014 American Journal of Cardiology

193. 31 Shock-index as a novel predictor of longterm outcome following primary percutaneous coronary intervention. (PubMed)

31 Shock-index as a novel predictor of longterm outcome following primary percutaneous coronary intervention.

2014 Heart

194. External validation of the CURSI criteria (confusion, urea, respiratory rate and shock index) in adults hospitalised for community-acquired pneumonia. (PubMed)

External validation of the CURSI criteria (confusion, urea, respiratory rate and shock index) in adults hospitalised for community-acquired pneumonia. For patients hospitalised due to community-acquired pneumonia (CAP), mortality risk is usually estimated with prognostic scores such as CRB-65 or CURB-65. For elderly patients, a new score referred to as CURSI has been proposed which uses shock index (SI) instead of the blood pressure (B) and age (65) criteria. The new score has not been

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2014 BMC Infectious Diseases

195. The utility of a shock index ≥ 1 as an indication for pre-hospital oxygen carrier administration in major trauma. (PubMed)

The utility of a shock index ≥ 1 as an indication for pre-hospital oxygen carrier administration in major trauma. The use of intravenous oxygen carriers (packed red blood cells (PRBC), whole blood and synthetic haemoglobins (HBOCs) for selected pre-hospital trauma resuscitation cases has been reported, despite a lack of validated clinical indications. The aim of this study was to retrospectively identify a sub-group of adult major trauma patients most likely to benefit from pre-hospital oxygen (...) carrier administration and determine the predictive relationship between pre-hospital shock index (SI) [pulse rate/systolic blood pressure] and haemorrhagic shock, blood transfusion and mortality.A retrospective review of adult major trauma patients recorded in The Alfred Trauma Registry was conducted. Patients were included if they received at least 1L of pre-hospital crystalloid and spent over 30 min in transit. The association of shock index and transfusion was determined. Patients were further sub

2014 Injury

196. Impella 2.5 system (Abiomed Inc.) for emergent hemodynamic cardiac support in patients with cardiogenic shock

for the HTA database. Citation HAYES, Inc.. Impella 2.5 system (Abiomed Inc.) for emergent hemodynamic cardiac support in patients with cardiogenic shock. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2015 Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Heart; Hemodynamics; Humans; Shock, Cardiogenic Language Published English Country of organisation United States English summary An English language summary is available (...) Impella 2.5 system (Abiomed Inc.) for emergent hemodynamic cardiac support in patients with cardiogenic shock Impella 2.5 system (Abiomed Inc.) for emergent hemodynamic cardiac support in patients with cardiogenic shock Impella 2.5 system (Abiomed Inc.) for emergent hemodynamic cardiac support in patients with cardiogenic shock HAYES, Inc. Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made

2015 Health Technology Assessment (HTA) Database.

197. Impella 5.0 (Abiomed Inc.) for emergent hemodynamic support in patients with cardiogenic shock

.. Impella 5.0 (Abiomed Inc.) for emergent hemodynamic support in patients with cardiogenic shock. Lansdale: HAYES, Inc.. Healthcare Technology Brief Publication. 2015 Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Hemodynamics; Humans; Shock, Cardiogenic Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite (...) Impella 5.0 (Abiomed Inc.) for emergent hemodynamic support in patients with cardiogenic shock Impella 5.0 (Abiomed Inc.) for emergent hemodynamic support in patients with cardiogenic shock Impella 5.0 (Abiomed Inc.) for emergent hemodynamic support in patients with cardiogenic shock HAYES, Inc. Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc

2015 Health Technology Assessment (HTA) Database.

198. An evaluation of the feasibility, cost and value of information of a multicentre randomised controlled trial of intravenous immunoglobulin for sepsis (severe sepsis and septic shock): incorporating a systematic review, meta-analysis and value of informati

An evaluation of the feasibility, cost and value of information of a multicentre randomised controlled trial of intravenous immunoglobulin for sepsis (severe sepsis and septic shock): incorporating a systematic review, meta-analysis and value of informati An evaluation of the feasibility, cost and value of information of a multicentre randomised controlled trial of intravenous immunoglobulin for sepsis (severe sepsis and septic shock): incorporating a systematic review, meta-analysis and value (...) immunoglobulin on mortality for patients with severe sepsis is borderline significant with a large degree of heterogeneity in the treatment effect between individual studies. {{author}} {{($index An error has occurred in processing the XML document An error has occurred in processing the XML document {{metadata.Journal}} Volume: {{metadata.Volume}}, Issue: {{metadata.Issue}}, Published in {{metadata.PublicationDate | date:'MMMM yyyy'}} Citation: {{author}}{{ (($index {{(metadata.AuthorsArray.length

2012 NIHR HTA programme

199. The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism (PubMed)

The shock index and the simplified PESI for identification of low-risk patients with acute pulmonary embolism We compared the test characteristics of the shock index (SI) and the simplified pulmonary embolism severity index (sPESI) for predicting 30-day outcomes in a cohort of 1,206 patients with objectively confirmed pulmonary embolism (PE). The primary outcome of the study was all-cause mortality. The secondary outcome was nonfatal symptomatic recurrent venous thromboembolism (VTE

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2011 EvidenceUpdates

200. Extracorporeal shock wave therapy for chronic plantar fasciitis

' conclusions Extracorporeal shock wave therapy (ESWT) is a noninvasive treatment for chronic plantar fasciitis that involves delivery of shock waves to the painful region of the heel with the goal of reducing pain, increasing function, and promoting healing of the affected soft tissue. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Fasciitis, Plantars; High-Energy Shock Waves Language Published English Country of organisation United States (...) Extracorporeal shock wave therapy for chronic plantar fasciitis Extracorporeal shock wave therapy for chronic plantar fasciitis Extracorporeal shock wave therapy for chronic plantar fasciitis Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Extracorporeal shock wave therapy for chronic plantar fasciitis. Lansdale: HAYES, Inc.. Directory Publication. 2013 Authors

2014 Health Technology Assessment (HTA) Database.

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