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61. Vital Sign Prediction of Adverse Maternal Outcomes in Women with Hypovolemic Shock: The Role of Shock Index Full Text available with Trip Pro

Vital Sign Prediction of Adverse Maternal Outcomes in Women with Hypovolemic Shock: The Role of Shock Index To determine the optimal vital sign predictor of adverse maternal outcomes in women with hypovolemic shock secondary to obstetric hemorrhage and to develop thresholds for referral/intensive monitoring and need for urgent intervention to inform a vital sign alert device for low-resource settings.We conducted secondary analyses of a dataset of pregnant/postpartum women with hypovolemic (...) shock in low-resource settings (n = 958). Using receiver-operating curve analysis, we evaluated the predictive ability of pulse, systolic blood pressure, diastolic blood pressure, shock index, mean arterial pressure, and pulse pressure for three adverse maternal outcomes: (1) death, (2) severe maternal outcome (death or severe end organ dysfunction morbidity); and (3) a combined severe maternal and critical interventions outcome comprising death, severe end organ dysfunction morbidity, intensive

2016 PloS one

62. Determination of Normal Ranges of Shock Index and Other Haemodynamic Variables in the Immediate Postpartum Period: A Cohort Study. Full Text available with Trip Pro

Determination of Normal Ranges of Shock Index and Other Haemodynamic Variables in the Immediate Postpartum Period: A Cohort Study. To determine the normal ranges of vital signs, including blood pressure (BP), mean arterial pressure (MAP), heart rate (HR) and shock index (SI) (HR/systolic BP), in the immediate postpartum period to inform the development of robust obstetric early warning scores.We conducted a secondary analysis of a prospective observational cohort study evaluating vital signs (...) with a 0.03 decrease in SI (p = 0.035) and epidural use with a 0.05 increase (p = 0.003). No other demographic or obstetric factors were associated with a change in shock index in this cohort.This is the first study to determine normal ranges of maternal BP, MAP, HR and SI within one hour of birth, a time of considerable haemodynamic adjustment, with minimal effect of demographic and obstetric factors demonstrated. The lower 90% reference point for systolic BP and upper 90% reference point for HR

2016 PLoS ONE Controlled trial quality: uncertain

63. 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.

64. 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.

65. [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.

66. Comparison Between Extracorporeal Shock Wave Therapy and Local Corticosteroid Injection for Plantar Fasciitis (Abstract)

Comparison Between Extracorporeal Shock Wave Therapy and Local Corticosteroid Injection for Plantar Fasciitis Extracorporeal shock wave therapy (ESWT) is a nonsurgical treatment for plantar fasciitis (PF) that has had satisfactory clinical outcomes. However, local corticosteroid injection (LCI) is often regarded as first-line treatment of PF, but there have been few studies comparing the 2 methods. Therefore, we compared the effect of ESWT and LCI on patients with PF.This was a block randomized (...) controlled study comparing 49 patients treated with ESWT and 47 patients treated with LCI from January 2017 to December 2018 who were followed for 6 months. We evaluated the clinical outcomes in the 2 groups, including average pain, first-step pain, plantar fascia thickness, and Foot Function Index, Chinese version of the PF patients.All patients had pain relief and function improvement after treatment, whereas the LCI group did not maintain significant clinical improvement at the 3-month follow-up

2020 EvidenceUpdates

67. Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

and clinical or laboratory signs of hypoperfusionClinical hypoperfusion: Cold extremities, oliguria, mental confusion, dizziness, narrow pulse pressureLaboratory hypoperfusion: Metabolic acidosis, elevated serum lactate, elevated serum creatinine CI indicates cardiac index; CS, cardiogenic shock; ESC, European Society of Cardiology; HF, heart failure; IABP-SHOCK II, Intraaortic Balloon Pump in Cardiogenic Shock II; LV, left ventricular; MI, myocardial infarction; PCWP, pulmonary capillary wedge pressure (...) with chronic HF with a subacute decompensation but also represents a reported 28% of patients with MI-associated CS. , Compared with patients with classic CS, those with euvolemic CS were less likely to have had a previous MI or chronic kidney disease and had significantly lower PCWPs. Figure 2. Potential hemodynamic presentations of cardiogenic shock. CI indicates cardiac index; PCWP, pulmonary capillary wedge pressure; and SVRI, systemic vascular resistance index. There is growing recognition

2017 American Heart Association

68. Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock Full Text available with Trip Pro

seconds with specific evaluation after each bolus for signs of fluid overload, as well as first-hour antibiotic administration and 2) subsequent ICU hemodynamic support directed to goals of ScVO 2 greater than 70% and cardiac index (CI) 3.3–6.0 L/min/m 2 with appropriate antibiotic coverage and source control.” The major new recommendation in the 2014 update is that hemodynamic support of septic shock now be addressed at the institutional level rather than only at the practitioner level with well (...) should be made to improve coronary perfusion pressure and reverse the tachycardia by giving volume if the end-diastolic volume is low, or an inotrope if contractility is low. Because CO = HR × SV, therapies directed to increasing SV will often reflexively reduce HR and improve CO. This will be evident in improvement of the shock index (HR/systolic blood pressure [SBP]) ( ), as well as CO. Children have limited HR reserve compared with adults because they are already starting with high basal HRs

2017 Society of Critical Care Medicine

69. Restricted fluid bolus volume in early septic shock: results of the Fluids in Shock pilot trial. Full Text available with Trip Pro

Restricted fluid bolus volume in early septic shock: results of the Fluids in Shock pilot trial. To determine the feasibility of Fluids in Shock, a randomised controlled trial (RCT) of restricted fluid bolus volume (10 mL/kg) versus recommended practice (20 mL/kg).Nine-month pilot RCT with embedded mixed-method perspectives study.13 hospitals in England.Children presenting to emergency departments with suspected infection and shock after 20 mL/kg fluid.Patients were randomly allocated (1:1 (...) ) to further 10 or 20 mL/kg fluid boluses every 15 min for up to 4 hours if still in shock.These were based on progression criteria, including recruitment and retention, protocol adherence, separation, potential trial outcome measures, and parent and staff perspectives.Seventy-five participants were randomised; two were withdrawn. 23 (59%) of 39 in the 10 mL/kg arm and 25 (74%) of 34 in the 20 mL/kg arm required a single trial bolus before the shock resolved. 79% of boluses were delivered per protocol

2018 Archives of Disease in Childhood Controlled trial quality: predicted high

70. Is There an Optimum Duration of Fluid Bolus in Pediatric Septic Shock? A Critical Appraisal of "Fluid Bolus Over 15-20 Versus 5-10 Minutes Each in the First Hour of Resuscitation in Children With Septic Shock: A Randomized Controlled Trial" by Sankar et a (Abstract)

nonsignificant p values greater than 0.05. Analysis of the results did not support the early stopping of this trial at the interim period.The article reviewed does not support a change in practice to a longer duration of fluid bolus. The "push" technique for titration of fluid boluses in pediatric septic shock should continue to be the method of choice. Critical Care trials using binary outcomes as endpoints should publish Fragility Index results to aid interpretation and generate stronger conclusions. (...) Is There an Optimum Duration of Fluid Bolus in Pediatric Septic Shock? A Critical Appraisal of "Fluid Bolus Over 15-20 Versus 5-10 Minutes Each in the First Hour of Resuscitation in Children With Septic Shock: A Randomized Controlled Trial" by Sankar et a To review the findings and discuss the implications of a longer duration for fluid boluses in the resuscitation of children with septic shock.We performed a PubMed.gov search using the criteria "Fluid Bolus" and "Children" and "Septic Shock

2018 Pediatric Critical Care Medicine

71. Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study. Full Text available with Trip Pro

Comparison of effects of low-level laser therapy and extracorporeal shock wave therapy in plantar fasciitis treatment: A randomized, prospective, single-blind clinical study. The aim of this study is to compare the efficacy of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) in terms of fascia thickness, heel pain, and foot functions in patients with plantar fasciitis (PF).Between April 2015 and October 2015, a total of 34 patients (5 males, 29 females; mean age 51.5 (...) ±10.8 years; range, 18 to 65 years) with PF were randomized into two treatment groups to receive either ESWT or LLLT using closed envelope method. The patients were evaluated before and after treatment and one month after treatment using the visual analog scale (VAS)-pain, Foot Function Index (FFI), and plantar fascia thickness measured by ultrasonography.A significant improvement in the VAS-pain and FFI scores and plantar fascia thickness was observed in both groups after treatment and one month

2019 Turkish journal of physical medicine and rehabilitation Controlled trial quality: uncertain

72. Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. (Abstract)

Randomized Trial on Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Dry Needling in Myofascial Trigger Points. The aim of the study was to compare the efficacy of radial extracorporeal shock wave therapy and dry needling in the treatment of myofascial trigger points in the upper trapezius muscle.A total of 65 patients with myofascial trigger points were randomly divided into extracorporeal shock wave therapy group (n = 32) and dry needling group (n = 33). Patients received 3 (...) wks of treatment at 1-wk intervals (in both groups). Visual analog scale, pressure pain threshold, Neck Disability Index, and shear modulus were evaluated before treatment, immediately after the first therapy, 1 mo, and 3 mos after the completion of the third therapy.Significant improvements of visual analog scale, pressure pain threshold, and Neck Disability Index scores were observed at all time points after treatment (P < 0.01) in both treatment groups. The shear modulus of myofascial trigger

2019 American journal of physical medicine & rehabilitation Controlled trial quality: uncertain

73. 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

74. Usefulness of the Admission Shock Index for Predicting Short-Term Outcomes in Patients With ST-Segment Elevation Myocardial Infarction (Abstract)

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

75. A simple 5-point scoring system, NaURSE (Na+, Urea, Respiratory Rate and Shock Index in the Elderly), predicts in-hospital mortality in oldest old Full Text available with Trip Pro

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

2014 EvidenceUpdates

76. Neurological Pupil index for Early Prognostication After Venoarterial Extracorporeal Membrane Oxygenation Full Text available with Trip Pro

Neurological Pupil index for Early Prognostication After Venoarterial Extracorporeal Membrane Oxygenation Neurological Pupil Index for Early Prognostication After Venoarterial Extracorporeal Membrane Oxygenation - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National (...) RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Chest Actions . 2020 May;157(5):1167-1174. doi: 10.1016/j.chest.2019.11.037. Epub 2019 Dec 20. Neurological Pupil Index for Early Prognostication After Venoarterial Extracorporeal Membrane Oxygenation , , , , , , , , , Affiliations Expand Affiliations 1 Department of Adult Intensive Care Medicine, Lausanne University Hospital (CHUV) and the University of Lausanne, Lausanne, Switzerland; Neuroscience Critical Care Research

2020 EvidenceUpdates

77. Mild Hypothermia in Cardiogenic Shock Complicating Myocardial Infarction Full Text available with Trip Pro

hypothermia failed to show a substantial beneficial effect on cardiac power index at 24 hours in patients with cardiogenic shock after acute myocardial infarction.URL: https://www.clinicaltrials.gov . Unique identifier: NCT01890317. (...) Mild Hypothermia in Cardiogenic Shock Complicating Myocardial Infarction Experimental trials suggest improved outcome by mild therapeutic hypothermia for cardiogenic shock after acute myocardial infarction. The objective of this study was to investigate the hemodynamic effects of mild therapeutic hypothermia in patients with cardiogenic shock complicating acute myocardial infarction.Patients (n=40) with cardiogenic shock undergoing primary percutaneous coronary intervention without classic

2019 EvidenceUpdates

78. Noncontrast computed tomography factors predictive of extracorporeal shock wave lithotripsy outcomes in patients with pancreatic duct stones Full Text available with Trip Pro

Noncontrast computed tomography factors predictive of extracorporeal shock wave lithotripsy outcomes in patients with pancreatic duct stones To assess the usefulness of factors unique to NCCT for the prediction of ESWL outcomes in patients with pancreatic duct stones.We retrospectively evaluated 148 patients with multiple PDS who had undergone ESWL therapy. All patients received an examination for NCCT both before and after ESWL. The following parameters were measured and recorded: patient (...) characteristics including sex and age; NCCT parameters including mean stone length, mean stone volumes before and after ESWL, mean value of CT attenuation, standard deviation of CT attenuation, variation coefficient of CT attenuation, skin-to-stone distance, and pancreatic duct diameter; ESWL outcome indexes including stone clearance rate calculated using the formula [Formula: see text], and the number of ESWL sessions. All patients were divided into groups based on their SCR: A group (SCR ≥ 90%), B group

2018 Abdominal radiology (New York)

79. Acute heart failure following myocardial infarction: complement activation correlates with the severity of heart failure in patients developing cardiogenic shock Full Text available with Trip Pro

percutaneous coronary intervention-treated ST-elevation myocardial infarction herein underwent a post hoc analysis. Blood samples were drawn from inclusion to Day 5 and at 42 day follow-up, and biomarkers were measured with enzyme immunoassays. Regional myocardial contractility was measured by echocardiography as wall motion score index (WMSI). The cardiogenic shock group (n = 9) was compared with the non-shock group (n = 52). Controls (n = 44) were age-matched and sex-matched healthy individuals. C4bc (...) Acute heart failure following myocardial infarction: complement activation correlates with the severity of heart failure in patients developing cardiogenic shock Heart failure (HF) is an impending complication to myocardial infarction. We hypothesized that the degree of complement activation reflects severity of HF following acute myocardial infarction.The LEAF trial (LEvosimendan in Acute heart Failure following myocardial infarction) evaluating 61 patients developing HF within 48 h after

2018 ESC heart failure Controlled trial quality: uncertain

80. What Is the Prognosis of Nontraumatic Hypotension and Shock in the Out-of-Hospital and Emergency Department Setting?

(per 1,000 Patients) Inhospital Mortality, % Out-of-hospital hypotension 9 8,484 19.5 NA 8,484 19.5 NA Out-of-hospital shock 4,6,7 131–39,424 9–19.5 33–52 131–273 9–19 33–52 ED hypotension 5,8 202–398 4–13 12 398 4 12 ED shock NA NA NA NA NA NA NA, Not applicable because of insuf?cient data. *The values in the cells represent the raw range reported in the review. METHODS DATA SOURCES MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Database of Abstracts of Reviews (...) What Is the Prognosis of Nontraumatic Hypotension and Shock in the Out-of-Hospital and Emergency Department Setting? Systematic Review Snapshot TAKE-HOME MESSAGE Patients with undifferentiated, nontraumatic hypotension are at high risk of short-term mortality, ranging from 12% to 52%, depending on the setting and de?nition of shock. What Is the Prognosis of Nontraumatic Hypotension and Shock in the Out-of- Hospital and Emergency Department Setting? EBEM Commentators Kendall McKenzie, MD Michael

2016 Annals of Emergency Medicine Systematic Review Snapshots

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