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Shock Index

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61. Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: An ATOMAC+ study. (PubMed)

Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: An ATOMAC+ study. Age-adjusted pediatric shock index (SIPA) does not require knowledge of age-adjusted blood pressure norms, yet correlates with mortality, serious injury, and need for transfusion in trauma. No prospective studies support its validity.A multicenter prospective observational study of patients 4-16years presenting April 2013-January 2016 with blunt liver and/or spleen injury (...) (BLSI). SIPA (maximum heart rate/minimum systolic blood pressure) thresholds of >1.22, >1.0, and >0.9 in the emergency department were used for 4-6, 7-12 and 13-16year-olds, respectively. Patients with ISS ≤15 were excluded to conform to the original paper. Discrimination outcomes were compared between SIPA and shock index (SI).Of 1008 patients, 386 met inclusion. SI was elevated in 321, and SIPA elevated in 282. The percentage of patients with elevated index (SI or SIPA) and blood transfusion

2016 Journal of Pediatric Surgery

62. The use of the reverse shock index to identify high-risk trauma patients in addition to the criteria for trauma team activation: a cross-sectional study based on a trauma registry system. (PubMed)

The use of the reverse shock index to identify high-risk trauma patients in addition to the criteria for trauma team activation: a cross-sectional study based on a trauma registry system. The presentation of decrease blood pressure with tachycardia is usually an indicator of significant blood loss. In this study, we used the reverse shock index (RSI), a ratio of systolic blood pressure (SBP) to heart rate (HR), to evaluate the haemodynamic status of trauma patients. As an SBP lower than the HR (...) (RSI<1) may indicate haemodynamic instability, the objective of this study was to assess whether RSI<1 can help to identify high-risk patients with potential shock and poor outcome, even though these patients do not yet meet the criteria for multidisciplinary trauma team activation (TTA).Cross-sectional study.Taiwan.We retrospectively reviewed the data of 20 106 patients obtained from the trauma registry system of a level I trauma centre for trauma admissions from January 2009 through December 2014

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2016 BMJ open

63. Increased body mass index and adjusted mortality in ICU patients with sepsis or septic shock: a systematic review and meta-analysis. (PubMed)

Increased body mass index and adjusted mortality in ICU patients with sepsis or septic shock: a systematic review and meta-analysis. At least 25 % of adults admitted to intensive care units (ICU) in the United States have an overweight, obese or morbidly obese body mass index (BMI). The effect of BMI on adjusted mortality in adults requiring ICU treatment for sepsis is unclear. We performed a systematic review of adjusted all-cause mortality for underweight, overweight, obese and morbidly obese (...) BMIs relative to normal BMI for adults admitted to the ICU with sepsis, severe sepsis, and septic shock.PubMed, the Cochrane Library, and EMBASE electronic databases were searched through November 18, 2015, without language restrictions. We included studies that reported multivariate regression analyses for all-cause mortality using standard BMI categories for adults admitted to the ICU for sepsis, severe sepsis, and septic shock. Articles were selected by consensus among multiple reviewers

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2016 Critical care (London, England)

64. Using the Reverse Shock Index at the Injury Scene and in the Emergency Department to Identify High-Risk Patients: A Cross-Sectional Retrospective Study (PubMed)

Using the Reverse Shock Index at the Injury Scene and in the Emergency Department to Identify High-Risk Patients: A Cross-Sectional Retrospective Study The ratio of systolic blood pressure (SBP) to heart rate (HR), called the reverse shock index (RSI), is used to evaluate the hemodynamic stability of trauma patients. A SBP lower than the HR (RSI < 1) indicates the probability of hemodynamic shock. The objective of this study was to evaluate whether the RSI as evaluated by emergency medical

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2016 International journal of environmental research and public health

65. Stone heterogeneity index as the standard deviation of Hounsfield units: A novel predictor for shock-wave lithotripsy outcomes in ureter calculi (PubMed)

Stone heterogeneity index as the standard deviation of Hounsfield units: A novel predictor for shock-wave lithotripsy outcomes in ureter calculi We investigated whether stone heterogeneity index (SHI), which a proxy of such variations, was defined as the standard deviation of a Hounsfield unit (HU) on non-contrast computed tomography (NCCT), can be a novel predictor for shock-wave lithotripsy (SWL) outcomes in patients with ureteral stones. Medical records were obtained from the consecutive

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2016 Scientific reports

66. Ultrasonographic assessment of inferior vena cava/abdominal aorta diameter index: a new approach of assessing hypovolemic shock class 1 (PubMed)

Ultrasonographic assessment of inferior vena cava/abdominal aorta diameter index: a new approach of assessing hypovolemic shock class 1 We designed this study to expand the usage of ultrasound to detect early occurrence of hypovolemia. We explore the potential use of inferior vena cava (IVC) and abdominal aorta (AA) diameter index (IVC:AA) measured ultrasonographically to detect class 1 hypovolemic shock with blood loss less than 15%.ᅟThe aim of this study was to determine the changes (...) of IVC:Aorta index as 1.14±2SD with SD 0.18 as a cut off value for class 1 hypovolemic shock.The IVC:Aorta diameter index can be used as a parameter for detecting early phase (Class 1) of hypovolemic shock.

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2016 International journal of emergency medicine

67. 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

68. Use of the reverse shock index for identifying high-risk patients in a five-level triage system. (PubMed)

Use of the reverse shock index for identifying high-risk patients in a five-level triage system. The ratio of systolic blood pressure (SBP) to heart rate (HR), called the reverse shock index (RSI), is used to evaluate the hemodynamic stability of trauma patients. To minimize undertriage in emergency departments (EDs), we evaluated whether RSI < 1 (i.e., SBP lower than HR) could be used as an additional variable to identify patients at high risk for more severe injury within a level category

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2016 Scandinavian journal of trauma, resuscitation and emergency medicine

69. Validation of a novel index of hemorrhage using a lower body negative pressure shock model. (PubMed)

Validation of a novel index of hemorrhage using a lower body negative pressure shock model. Vital signs are late indicators of blood loss in trauma patients. Indexed Heart to Arm Time (iHAT) is a non-invasive index based on a modified pulse transit time (mPTT) indexed to the time between R waves on the electrocardiogram (RR interval). We aimed to investigate how early iHAT is able to detect central hypovolemia during the progression from mild to severe simulated hemorrhage induced by applying

2016 Minerva anestesiologica

70. Clinical metrics in emergency medicine: the shock index and the probability of hospital admission and inpatient mortality. (PubMed)

Clinical metrics in emergency medicine: the shock index and the probability of hospital admission and inpatient mortality. The shock index (SI), defined as the ratio of HR to systolic BP, has been studied as an alternative prognostic tool to traditional vital signs in specific disease states and subgroups of patients. However, literature regarding its utility in the general ED population is lacking. Our main objective was to determine the probability of admission and inpatient mortality based

2016 Emergency Medicine Journal

71. Shock Index as a Predictor of Myocardial Damage and Clinical Outcome in ST-Elevation Myocardial Infarction. (PubMed)

Shock Index as a Predictor of Myocardial Damage and Clinical Outcome in ST-Elevation Myocardial Infarction. Data on the prognostic value of the shock index in patients with ST-elevation myocardial infarction (STEMI) are scarce. Furthermore, the relationship of the shock index with myocardial damage is unknown. The aim of this study was to evaluate the association of the shock index with markers of myocardial damage and clinical outcome in patients with STEMI.This multicenter study analyzed 791 (...) patients. Patients were categorized in 2 groups according to the admission shock index (optimized cut-off=0.62). Infarct severity was determined by cardiac magnetic resonance (CMR) imaging. Patients with cardiogenic shock that were unable to undergo CMR acquisition were excluded. Major adverse cardiac events (MACE) were defined as a composite of death, reinfarction and congestive heart failure within 12 months. Patients with elevated admission shock index (n=321 [40.6%]) had a significantly larger area

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2016 Circulation journal : official journal of the Japanese Circulation Society Controlled trial quality: uncertain

72. Global end-diastolic volume index vs central venous pressure goal-directed fluid resuscitation for chronic obstructive pulmonary disease patients with septic shock: a randomized controlled trial. (PubMed)

Global end-diastolic volume index vs central venous pressure goal-directed fluid resuscitation for chronic obstructive pulmonary disease patients with septic shock: a randomized controlled trial. This study aimed to investigate the clinical effects of early goal-directed therapy according to the global end-diastolic volume index (GEDI) on chronic obstructive pulmonary disease (COPD) patients with septic shock.A total of 71 COPD patients with septic shock were randomly assigned to 2 groups (...) for COPD patients with septic shock; however, it cannot reduce the mortality rate.Copyright © 2016 Elsevier Inc. All rights reserved.

2016 American Journal of Emergency Medicine Controlled trial quality: uncertain

73. 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.

74. 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

75. 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? (PubMed)

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

76. [Extracorporeal shock wave therapy (ESWT) for heel pain]

from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen. Extrakorporale stoßwellentherapie beim fersenschmerz: abschlussbericht; auftrag N15-06. [Extracorporeal shock wave therapy (ESWT) for heel pain] Cologne: Institut fuer Qualitaet und Wirtschaftlichkeit im Gesundheitswesen (IQWiG). IQWiG-Berichte 499. 2017 Final publication URL Indexing Status Subject indexing assigned (...) [Extracorporeal shock wave therapy (ESWT) for heel pain] Extrakorporale stoßwellentherapie beim fersenschmerz: abschlussbericht; auftrag N15-06 [Extracorporeal shock wave therapy (ESWT) for heel pain] Extrakorporale stoßwellentherapie beim fersenschmerz: abschlussbericht; auftrag N15-06 [Extracorporeal shock wave therapy (ESWT) for heel pain] Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen Record Status This is a bibliographic record of a published health technology assessment

2017 Health Technology Assessment (HTA) Database.

77. Radial extracorporeal shock wave therapy for chronic plantar fasciitis

with plantar fasciitis? Is radial ESWT safe? For which patients might radial ESWT provide a benefit? Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Fasciitis, Plantar; High-Energy Shock Waves; Humans; Pain Measurement 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 200, Lansdale, PA 19446, USA. Tel: 215 (...) Radial extracorporeal shock wave therapy for chronic plantar fasciitis Radial extracorporeal shock wave therapy for chronic plantar fasciitis Radial extracorporeal shock wave therapy for chronic plantar fasciitis 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. Radial extracorporeal shock wave therapy for chronic plantar fasciitis. Lansdale

2017 Health Technology Assessment (HTA) Database.

78. Focused extracorporeal shock wave therapy for chronic plantar fasciitis

in patients with plantar fasciitis? Is focused ESWT safe? For which patients might focused ESWT provide a benefit? Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Fasciitis, Plantar; High-Energy Shock Waves; Humans; Pain Measurement 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 200, Lansdale, PA 19446 (...) Focused extracorporeal shock wave therapy for chronic plantar fasciitis Focused extracorporeal shock wave therapy for chronic plantar fasciitis Focused extracorporeal shock wave therapy for chronic plantar fasciitis 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.. Focused extracorporeal shock wave therapy for chronic plantar fasciitis

2017 Health Technology Assessment (HTA) Database.

79. 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

2017 FP Notebook

80. 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 EvidenceUpdates

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