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Shock Index

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41. Interfacility Transport Shock Index Is Associated With Decreased Survival in Children. Full Text available with Trip Pro

Interfacility Transport Shock Index Is Associated With Decreased Survival in Children. Shock index, the ratio of heart rate to systolic blood pressure that changes with age, is associated with mortality in adults after trauma and in children with sepsis. We assessed the utility of shock index to predict sepsis diagnosis and survival in children requiring interfacility transport to a tertiary care center.We studied children aged 1 month to 21 years who had at least 2 sets of vital signs recorded (...) during interfacility transport to the Children's Hospital of Pittsburgh by our critical care transport team. Subjects were divided into 4 age groups: group 1 (<1 year), group 2 (1-3 years), group 3 (4-11 years), and group 4 (≥12 years). Children were also grouped into sepsis or nonsepsis group based on the International Classification of Diseases, Ninth Revision categories. Primary outcome was survival to hospital discharge.Of 3519 children studied, 493 (14%) had sepsis. Initial shock index decreased

2017 Pediatric Emergency Care

42. The Shock Pulse Index and Its Application in the Fault Diagnosis of Rolling Element Bearings Full Text available with Trip Pro

The Shock Pulse Index and Its Application in the Fault Diagnosis of Rolling Element Bearings The properties of the time domain parameters of vibration signals have been extensively studied for the fault diagnosis of rolling element bearings (REBs). Parameters like kurtosis and Envelope Harmonic-to-Noise Ratio are the most widely applied in this field and some important progress has been made. However, since only one-sided information is contained in these parameters, problems still exist (...) in practice when the signals collected are of complicated structure and/or contaminated by strong background noises. A new parameter, named Shock Pulse Index (SPI), is proposed in this paper. It integrates the mutual advantages of both the parameters mentioned above and can help effectively identify fault-related impulse components under conditions of interference of strong background noises, unrelated harmonic components and random impulses. The SPI optimizes the parameters of Maximum Correlated Kurtosis

2017 Sensors (Basel, Switzerland)

43. Derivation and Validation of Shock Index as a parameter for Predicting Long-term Prognosis in Patients with Acute Coronary Syndrome Full Text available with Trip Pro

Derivation and Validation of Shock Index as a parameter for Predicting Long-term Prognosis in Patients with Acute Coronary Syndrome The objective of this study was to examine whether shock index (SI), defined by ratio of heart rate and systolic blood pressure, can predict long-term prognosis of acute coronary syndrome (ACS) in patients undergoing percutaneous coronary intervention (PCI) and to compare prognostic accuracy of SI with the Global Registry of Acute Coronary Events (GRACE) risk score

2017 Scientific reports

44. The Association Between Shock Index and Severity of Postpartum Blood Loss

The Association Between Shock Index and Severity of Postpartum Blood Loss The Association Between Shock Index and Severity of Postpartum Blood Loss - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . The Association Between Shock Index and Severity of Postpartum Blood Loss The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03135158 Recruitment Status : Completed First Posted : May 1, 2017 Last Update Posted : April 30, 2018 Sponsor: Gynuity Health Projects Collaborator: Fundacion Clinica Valle del Lili

2017 Clinical Trials

45. Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients

Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (...) (100). Please remove one or more studies before adding more. Effect of Dexmedetomidine on Perfusion Index and Microcirculation in Severe Sepsis and Septic Shock Patients The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier

2017 Clinical Trials

46. Can we safely decrease intensive care unit admissions for children with high grade isolated solid organ injuries? Using the shock index, pediatric age-adjusted and hematocrit to modify APSA admission guidelines. (Abstract)

Can we safely decrease intensive care unit admissions for children with high grade isolated solid organ injuries? Using the shock index, pediatric age-adjusted and hematocrit to modify APSA admission guidelines. In 2000, the American Pediatric Surgical Association (APSA) disseminated consensus practice guidelines for the management of blunt liver and splenic injury which included intensive care unit (ICU) admission for children with grade IV injuries. We sought to determine if we could better (...) predict which children with isolated solid organ injuries (SOI) underwent an ICU-level intervention, thus necessitating ICU admission.Children with isolated liver, spleen, or kidney injuries admitted to the ICU from November 2003 to August 2015 were identified in our trauma registry, and data were extracted from the medical record. ICU-level interventions were defined as transfusion, vasopressor use, intubation, and operative/procedural intervention. Shock index and pediatric age-adjusted (SIPA

2017 Journal of Pediatric Surgery

47. The impact of body mass index on the wearable cardioverter defibrillator shock efficacy and patient wear time. Full Text available with Trip Pro

The impact of body mass index on the wearable cardioverter defibrillator shock efficacy and patient wear time. The impact of body mass index (BMI) on the shock efficacy and patient adherence among patients using a wearable cardioverter defibrillator (WCD) is unknown.Patients prescribed the WCD between January 1, 2008 and June 1, 2013, who experienced at least one episode of sustained ventricular tachycardia (VT) or ventricular fibrillation (VF) and who received appropriate WCD therapy, were (...) identified within a registry maintained by the manufacturer for regulatory, reimbursement, and administrative purposes. The registry contained patients' Body Mass Index (BMI) which was categorized as normal (18.0shock rhythm which was no longer VT or VF

2017 American Heart Journal

48. Right Ventricular Dysfunction in Acute Myocardial Infarction Complicated by Cardiogenic Shock: A Hemodynamic Analysis of the Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) Trial and Registry. (Abstract)

outcomes.We retrospectively analyzed patients with available hemodynamics enrolled in the Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock (SHOCK) trial (n = 139) and registry (n = 258) to identify RVD in AMI-CS. RVD was defined by an elevated central venous pressure (CVP), elevated CVP-pulmonary capillary wedge pressure (PCWP) ratio, decreased pulmonary artery pulsatility index, and decreased right ventricular stroke work index. A P value of <.01 was used to infer significance (...) . In the SHOCK trial and registry, respectively, 38% and 37% of patients had RVD, but RVD was not associated with 30-day or 6-month survival (hazard ratio [HR] 1.51, (99% CI 0.92-2.49; P = .10). RV failure with the use of inclusion criteria from the Recover Right Trial for RV Failure (RR-RVF) requiring percutaneous mechanical circulatory support included elevated CVP and CVP/PCWP and a low cardiac index despite ≥1 inotrope or vasopressor. In the SHOCK trial and registry, respectively, 45% (n = 63/139) and 38

2019 Journal of cardiac failure Controlled trial quality: uncertain

49. What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy?

Shoulder and Elbow Surgeons Score; DASH= Disability of arm shoulder and hand questionnaire; ESWT= Extracoporeal shock wave therapy; NRS= numerical rating score; SAI= sub-acromial injection; SR=systematic review; PT= physiotherapy; US= Ultrasound; VAS= visual analogue scale; WORC= Western Ontario rotator cuff index). Getting Evidence into Clinical Practice: Barbotage for calcific cuff tendinopathy Musculoskeletal Research Facilitation Group (CAT Group) Date: 25.7.18 CAT Lead: Emma Salt Date CAT (...) What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage in the management of rotator cuff calcific tendinopathy? Getting Evidence into Clinical Practice: Barbotage for calcific cuff tendinopathy Musculoskeletal Research Facilitation Group (CAT Group) Date: 25.7.18 CAT Lead: Emma Salt Date CAT completed: Email: emma.salt@nhs.net Date CAT to be reviewed: 2021 Specific Question: What is the clinical effectiveness of extracorporeal Shock Wave Therapy or barbotage

2018 Public Health England

50. SCAI clinical expert consensus statement on the classification of cardiogenic shock Full Text available with Trip Pro

pulseless) state and respiratory failure requiring mechanical ventilation. 3.4 Hemodynamics 3.4.1 Hemodynamic diagnosis of CS Although all forms of shock are diagnosed by a relative reduction in systemic blood pressure with tissue hypoperfusion, labeling it cardiogenic implies that shock is due to a low cardiac output/index in the absence of hypovolemia. Although CS may be diagnosed clinically, it is often difficult to distinguish it from other forms of shock without invasive hemodynamic monitoring (...) SCAI clinical expert consensus statement on the classification of cardiogenic shock SCAI clinical expert consensus statement on the classification of cardiogenic shock - Baran - - Catheterization and Cardiovascular Interventions - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. VALVULAR AND STRUCTURAL

2019 Society for Cardiovascular Angiography and Interventions

51. CRACKCast E197 – Shock

. Rosen’s stresses that HR and BP values do not correlate well with cardiac index (=CO/BSA – body surface area) in shock due to a variety of factors, and can often underestimate the severity of hypoperfusion. Box 6.2 – Empirical Criteria for Diagnosis of Circulatory Shock Ill appearance/altered mental status Heart rate > 100/min Respiratory rate > 20/min or PaCO2 <32mmHg Urine output < 0.5mL/kg/h Arterial hypotension > 30 minutes (continuous) [7] What variables indicate tissue hypoperfusion? (Box 6.4 (...) CRACKCast E197 – Shock CRACKCast E197 - Shock - CanadiEM CRACKCast E197 – Shock In , by Dillan Radomske January 7, 2019 This updated episode of CRACKCast covers Rosen’s Chapter 006, Shock (9th Ed.). These topics are core knowledge that we use every day in the Emergency Department. Shownotes – Rosen’s in Perspective As you can probably guess, this introductory chapter is exceedingly important for practitioners of emergency medicine. Chapter 6 in Rosen’s 9th Edition contains core knowledge

2019 CandiEM

52. Inferior Vena Cava Collapsibility Index is a Valuable and Non-Invasive Index for Elevated General Heart End-Diastolic Volume Index Estimation in Septic Shock Patients Full Text available with Trip Pro

Inferior Vena Cava Collapsibility Index is a Valuable and Non-Invasive Index for Elevated General Heart End-Diastolic Volume Index Estimation in Septic Shock Patients BACKGROUND This study aimed to investigate the relationship between the inferior vena cava respirophasic variation (IVC collapsibility index [IVCCI]) and the general heart end-diastolic volume index (GEDVI). By determining the above relationship, we could evaluate the utility of IVCCI as an indicator. MATERIAL AND METHODS Forty (...) illustrated the best area under the curve, with a sensitivity of 100% and specificity of 100%, and a cut-off value of 12.9% to predict GEDVI <600 ml/m2 in the PRG group. CONCLUSIONS IVCCI was a good predictor of low-volume state. The IVCCI appears to be a valuable and non-invasive index for the estimation of elevated GEDVI during fluid resuscitation in septic shock patients.

2016 Medical science monitor : international medical journal of experimental and clinical research

53. Impella CP (Abiomed) for use in adult patients with cardiogenic shock

failure that is unresponsive to optimal medical management and conventional treatment measures of pressors, inotropic agents, and intra-aortic balloon pump. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Heart-Assist Devices; Humans; Intra-Aortic Balloon Pumping; Shock, Cardiogenic Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc (...) Impella CP (Abiomed) for use in adult patients with cardiogenic shock Impella CP (Abiomed) for use in adult patients with cardiogenic shock Impella CP (Abiomed) for use in adult patients with cardiogenic shock HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Impella CP (Abiomed) for use in adult patients

2018 Health Technology Assessment (HTA) Database.

54. Is Shock Index a Valid Predictor of Mortality in Emergency Department Patients With Hypertension, Diabetes, High Age, or Receipt of beta- or Calcium Channel Blockers? (Abstract)

Is Shock Index a Valid Predictor of Mortality in Emergency Department Patients With Hypertension, Diabetes, High Age, or Receipt of beta- or Calcium Channel Blockers? Shock index is a widely reported tool to identify patients at risk for circulatory collapse. We hypothesize that old age, diabetes, hypertension, and β- or calcium channel blockers weaken the association between shock index and mortality.This was a cohort study of all first-time emergency department (ED) visits between 1995 (...) and 2011 (n=111,019). We examined whether age 65 years or older, diabetes, hypertension, and use of β- or calcium channel blockers modified the association between shock index and 30-day mortality.The 30-day mortality was 3.0%. For all patients, with shock index less than 0.7 as reference, a shock index of 0.7 to 1 had an adjusted odds ratio (OR) of 2.9 (95% confidence interval [CI] 2.7 to 3.2) for 30-day mortality, whereas shock index greater than or equal to 1 had an OR of 10.5 (95% CI 9.3 to 11.7

2015 EvidenceUpdates

55. Shock Index

Shock Index Shock Index Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Shock Index Shock Index Aka: Shock Index From Related Chapters (...) II. Indications III. Technique: Calculation Shock Index = ( ) / (Systolic ) IV. Interpretation Mild : 0.6 to 1 Moderate : 1 to 1.4 Severe : >1.4 V. Efficacy Shock Index (by contrast with s) does correlate with degree of Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Shock Index." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics

2018 FP Notebook

56. Shock index as a predictor of morbidity and mortality in adult patients with suspected sepsis: a systematic review and meta-analysis

Shock index as a predictor of morbidity and mortality in adult patients with suspected sepsis: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne (...) , a threshold describing the number of studies per subgroup required for analysis should be specified. For further guidance please refer to the and to pre-clinical meta-analysis. Example: The following study characteristics will be examined as potential source of heterogeneity: species (stratified per species); sex (stratified per sex); duration of index ischemia (linear); stem cell dose (linear); blinding of outcome assessment reported (stratified yes vs no). For stratified analyses, a minimum number of 8

2018 PROSPERO

57. Early corticosteroid therapy does not improve the prognosis of paediatric septic shock

in the third stage of treatment (36 patients) (control group [CG]). The patients were randomized by “block randomization” with allocation concealment. The physicians, nurses, data collectors and statistician were blinded to the use of early corticosteroid therapy. Outcome measures: the outcome measures were the Pediatric Index of Mortality score (PIM); the Pediatric Logistic Organ Dysfunction score (PELOD); shock reversal time in days (maintenance of systolic blood pressure at or above the 5 th percentile (...) Early corticosteroid therapy does not improve the prognosis of paediatric septic shock Early corticosteroid therapy does not improve the prognosis of paediatric septic shock - Evidencias en pediatría De Lucas García N, Esparza Olcina MJ. En pacientes pediátricos con shock séptico, el uso precoz de corticoides no mejora el pronóstico. Evid Pediatr. 2017;13:40. " /> Searching, please wait Show menu Library Management You did not add any article to your library yet. | Search Evidence-Based

2017 Evidencias en Pediatría

58. The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock

The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock Dr. Smith's ECG Blog: The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock Friday, November 30, 2018 A 60-something presented with hypotension, bradycardia, chest pain and back pain. She had a h/o aortic aneurysm, aortic insufficiency, peripheral vascular disease, and hypertension. She had a mechanical aortic valve. She was on anti-hypertensives including atenolol, and on coumadin (...) in aVR: Is this pattern specific for global ischemia due to left main coronary artery disease? J Electrocardiol 2013;46:240-8. Case continued: The chest X-ray was consistent with pulmonary edema, and the ultrasound showed a "plump" inferior vena cava. (This data is all consistent with high right and left sided filling pressures, which is the hallmark of cardiogenic shock -- not obstructive, distributive, or hypovolemic) Aortic dissection was considered (with involvement of the coronary arteries

2019 Dr Smith's ECG Blog

59. Is the shock index based classification of hypovolemic shock applicable in multiple injured patients with severe traumatic brain injury?-an analysis of the TraumaRegister DGU<sup>®</sup>. Full Text available with Trip Pro

Is the shock index based classification of hypovolemic shock applicable in multiple injured patients with severe traumatic brain injury?-an analysis of the TraumaRegister DGU®. A new classification of hypovolemic shock based on the shock index (SI) was proposed in 2013. This classification contains four classes of shock and shows good correlation with acidosis, blood product need and mortality. Since their applicability was questioned, the aim of this study was to verify the validity (...) classification enables a quick assessment of patients in hypovolemic shock based on universally available parameters. Although the pathophysiology in TBI and Non TBI patients and early treatment methods such as the use of vasopressors differ, both groups showed an identical probability of recieving blood products within the respective SI class.Regardless of the presence of TBI, the classification of hypovolemic shock based on the SI enables a fast and reliable assessment of hypovolemic shock in the emergency

2016 Scandinavian journal of trauma, resuscitation and emergency medicine

60. Hemodynamic Response After Rapid Sequence Induction With Ketamine in Out-of-Hospital Patients at Risk of Shock as Defined by the Shock Index. (Abstract)

Hemodynamic Response After Rapid Sequence Induction With Ketamine in Out-of-Hospital Patients at Risk of Shock as Defined by the Shock Index. Ketamine is considered a stable induction agent for rapid sequence induction; however, hypotension rates up to 24% are reported. The shock index (shock index=pulse rate/systolic blood pressure [SBP]) may identify patients at risk of adverse hemodynamic change. We investigate whether SBP and pulse rate response to ketamine induction differ when patients (...) are classified as being at risk of shock by their shock index.We conducted a prospective observational study of electronically collected vital sign data from patients undergoing rapid sequence induction with ketamine. Patients were grouped into low shock index (shock index <0.9) or high shock index (shock index ≥0.9) preinduction. Pulse rate and SBP were compared between 3 minutes preinduction and for 3 measurements postinduction (3-minute intervals) by repeated-measures ANOVA. Proportions of patients

2016 Annals of Emergency Medicine

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