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Shock Index

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141. High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review

of the shoulder: a systematic review. Annals of Internal Medicine 2014; 160(8): 542-549 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Calcinosis /physiopathology /therapy; High-Energy Shock Waves /adverse effects /therapeutic use; Humans; Range of Motion, Articular; Rotator Cuff /physiopathology; Shoulder Pain /therapy; Tendinopathy /physiopathology /therapy; Treatment Outcome AccessionNumber 12014025314 Date bibliographic record published 15/04/2014 Date abstract (...) High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review Bannuru RR, Flavin NE, Vaysbrot E, Harvey W, McAlindon T CRD summary The authors concluded that high-energy extracorporeal

2014 DARE.

142. Renal Resistive Index in Patients With Shock

Renal Resistive Index in Patients With Shock Renal Resistive Index in Patients With Shock - 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. Renal Resistive Index in Patients With Shock The safety (...) Study Description Go to Brief Summary: This study consists of two substudies. The first substudy: 'Renal resistive index in critically ill patients with cardiogenic and septic shock' Design: cross-sectional observational Aim of this project is: to determine whether critically ill patients with cardiogenic and septic shock have an elevated Renal Resistive Index and to determine whether Renal Resistive Index differs between cardiogenic/hypovolemic shock and shock due to sepsis/systemic inflammation

2015 Clinical Trials

143. Shock Index To DEtect Low Plasma Fibrinogen In Trauma (SIDE)

Shock Index To DEtect Low Plasma Fibrinogen In Trauma (SIDE) Shock Index To DEtect Low Plasma Fibrinogen In Trauma (SIDE) - 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. Shock Index To DEtect Low Plasma (...) Hospital Krajská zdravotní a.s. Study Details Study Description Go to Brief Summary: Shock-index is potentially an easy tool to estimate the risk of hypofibrinogenemia without the need to perform other potentially time consuming investigations. Condition or disease Intervention/treatment Trauma, Multiple Procedure: plasma fibrinogen measurement Detailed Description: Hypofibrinogenemia is common in severe trauma and below the threshold of 2.3 g/l is associated with increased mortality. Although

2015 Clinical Trials

144. 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

145. Shock Index and Decreased Level of Consciousness as Terminal Cancer Patients' Survival Time Predictors: A Retrospective Cohort Study. (PubMed)

Shock Index and Decreased Level of Consciousness as Terminal Cancer Patients' Survival Time Predictors: A Retrospective Cohort Study. Predicting prognosis using noninvasive and objective tools may facilitate end-of-life decisions for terminal cancer patients, their families, and other health care professionals.To investigate if the shock index (SI), along with decreased level of consciousness (DLOC), is a reliable tool for predicting short-term survival time in terminal cancer patients.A two

2015 Journal of pain and symptom management

146. The shock index for pre-hospital identification of trauma patients with early acute coagulopathy and massive bleeding (PubMed)

The shock index for pre-hospital identification of trauma patients with early acute coagulopathy and massive bleeding 25887371 2015 10 20 2018 12 02 1466-609X 19 2015 Mar 27 Critical care (London, England) Crit Care The shock index for pre-hospital identification of trauma patients with early acute coagulopathy and massive bleeding. 152 10.1186/s13054-015-0839-3 Pasquier Pierre P Intensive Care Unit, Bégin Military Teaching Hospital, 69 avenue de Paris, 96160, Saint-Mandé, France. pasquier9606 (...) Teaching Hospital, 69 avenue de Paris, 96160, Saint-Mandé, France. merat.stephane@wanadoo.fr. eng Letter Comment 2015 03 27 England Crit Care 9801902 1364-8535 IM Crit Care. 2014;18(6):648 25425230 Blood Coagulation Disorders diagnosis Emergency Medical Services methods Female Hemorrhage diagnosis Humans Male Multiple Trauma diagnosis Severity of Illness Index 2015 4 19 6 0 2015 4 19 6 0 2015 10 21 6 0 epublish 25887371 10.1186/s13054-015-0839-3 10.1186/s13054-015-0839-3 PMC4376331 Ann Emerg Med. 1994

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2015 Critical Care

147. Pediatric specific shock index accurately identifies severely injured children. (PubMed)

Pediatric specific shock index accurately identifies severely injured children. Shock index (SI) (heart rate/systolic blood pressure)>0.9 predicts mortality in adult trauma patients. We hypothesized that age adjusted SI could more accurately predict outcomes in children.Retrospective review of children age 4-16 years admitted to two trauma centers between 1/07 and 6/13 following blunt trauma with an injury severity score (ISS)>15 was performed. We evaluated the ability of SI>0.9 at emergency (...) department presentation and elevated shock index, pediatric age adjusted (SIPA) to predict outcomes. SIPA was defined by maximum normal HR and minimum normal SBP by age. Cutoffs included SI>1.22 (age 4-6), >1.0 (7-12), and >0.9 (13-16).Among 543 children, 50% of children had an SI>0.9 but this fell to 28% using age adjusted SI (SIPA). SIPA demonstrated improved discrimination of severe injury relative to SI: ISS>30: 37% vs 26%; blood transfusion within the first 24 hours: 27% vs 20%; Grade III liver

2015 Journal of Pediatric Surgery

148. Shock index: an effective predictor of outcome in postpartum haemorrhage? (PubMed)

Shock index: an effective predictor of outcome in postpartum haemorrhage? To compare the predictive value of the shock index (SI) with conventional vital signs in postpartum haemorrhage (PPH), and to establish 'alert' thresholds for use in low-resource settings.Retrospective cohort study.UK tertiary centre.Women with PPH ≥ 1500 ml (n = 233).Systolic blood pressure (BP), diastolic BP, mean arterial pressure, pulse pressure, heart rate (HR) and SI (HR/systolic BP) were measured within the first (...) procedures.Shock index has the highest AUROC to predict ICU admissions (0.75 for SI [95% CI 0.63-0.87] compared with 0.64 [95% CI 0.44-0.83] for systolic BP). SI compared favourably for other outcomes: SI ≥ 0.9 had 100% sensitivity (95% CI 73.5-100) and 43.4% specificity (95% CI 36.8-50.3), and SI ≥ 1.7 had 25.0% sensitivity (95% CI 5.5-57.2) and 97.7% specificity (CI 94.8-99.3), for predicting ICU admission.Shock index compared favourably with conventional vital signs in predicting ICU admission and other

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2015 BJOG

149. Elevated lactate level and shock index in nontraumatic hypotensive patients presenting to the emergency department. (PubMed)

Elevated lactate level and shock index in nontraumatic hypotensive patients presenting to the emergency department. The aim of our study was to evaluate the effect of lactate level (LL) and shock index (SI) on the outcome in nontraumatic hypotensive patients in the emergency department, and also to show the significance of the combined usage of these two parameters.This is a prospective, observational study. Elevated and normal LL (ELL and NLL), elevated and normal SI (ESI and NSI

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2015 European Journal of Emergency Medicine

150. Massive transfusion prediction with inclusion of the pre-hospital Shock Index. (PubMed)

Massive transfusion prediction with inclusion of the pre-hospital Shock Index. Detecting occult bleeding can be challenging and may delay resuscitation. The Shock Index (SI) defined as heart rate divided by systolic blood pressure has attracted attention. Prediction models using combinations of pre-hospital SI (phSI) and the trauma centre SI (tcSI) values may be effective in identifying patients requiring massive blood transfusions (MT).To explore whether combinations of the phSI and the tcSI

2015 Injury

151. The shock index predicts acute mortality outcomes in stroke. (PubMed)

The shock index predicts acute mortality outcomes in stroke. Shock index (SI) (ratio between heart rate and systolic blood pressure) has been shown to be associated with poor mortality outcomes in trauma and pneumonia; however it has yet to be examined in stroke. We aimed to examine the relationship between SI and acute outcomes of inpatient, 3-day and 7-day mortality in stroke. Secondly, we aimed to compare SI and systolic blood pressure (SBP) alone in predicting above outcomes.Data from

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2015 International journal of cardiology

152. Modified shock index is a predictor for 7-day outcomes in patients with ST-segment elevation myocardial infarction. (PubMed)

Modified shock index is a predictor for 7-day outcomes in patients with ST-segment elevation myocardial infarction. The aim of this study was to compare the predictive values of modified shock index (MSI) and shock index (SI) for 7-day outcome in patients with ST-segment elevation myocardial infarction (STEMI).This retrospective study included 160 consecutive patients with STEMI and emergency percutaneous coronary intervention. The blood pressure (BP) and heart rate (HR) measured at emergency (...) years vs 63.9 ± 12.9 years, P = .025) than the normal MSI group. The 7-day all-cause mortality was 8.8%, and MACE rate was 24.4% in this study. Both increased SI and increased MSI predicted higher MACE rates. However, the odds ratios of increased MSI for all-cause mortality (6.8 vs 3.4), cardiogenic shock (3.0 vs 1.6), life-threatening arrhythmias (9.1 vs 4.6), and MACE (6.8 vs 3.4) were higher than those of increased SI. Modified shock index and SI were independent factor for MACE, but the odds

2015 American Journal of Emergency Medicine

153. [A prospective clinical study of pleth variability index in prediction of volume responsiveness in patients with septic shock]. (PubMed)

[A prospective clinical study of pleth variability index in prediction of volume responsiveness in patients with septic shock]. To evaluate the role of pleth variability index ( PVI ) by passive leg raising ( PLR ) test in volume responsiveness and volume status prediction in patients with septic shock.A prospective randomized controlled trial ( RCT ) was conducted. Eighty-seven patients suffering from septic shock undergoing mechanical ventilation in Department of Critical Care Medicine (...) of Subei People's Hospital from June 2012 to September 2014 were enrolled. The hemodynamic changes before and after PLR were monitored by pulse indicated continuous cardiac output ( PiCCO ) and PVI monitoring. Responsive group: positive fluid response was defined as an increase in cardiac index ( CI )≥10% after PLR. Unresponsive group: negative fluid response was defined as an increase in CI<10% after PLR. The hemodynamic parameters, including heart rate ( HR ), mean arterial pressure ( MAP ), central

2015 Zhonghua wei zhong bing ji jiu yi xue Controlled trial quality: uncertain

154. Effectiveness of extracorporeal shock-wave therapy for frozen shoulder: A protocol for a systematic review of randomized controlled trial. (PubMed)

Effectiveness of extracorporeal shock-wave therapy for frozen shoulder: A protocol for a systematic review of randomized controlled trial. This systematic review aims to explore the effectiveness and safety of extracorporeal shock-wave therapy (ESWT) for patients with frozen shoulder.The sources of Cochrane Central Register of Controlled Trials, EMBASE, MEDLINE, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Allied and Complementary Medicine Database, Chinese

2019 Medicine

155. Effectiveness of extracorporeal shock wave for low back pain: A protocol of systematic review. (PubMed)

Effectiveness of extracorporeal shock wave for low back pain: A protocol of systematic review. Previous clinical trials have reported that extracorporeal shock wave (EPSW) can be used to treat low back pain (LBP), and have achieved satisfied effect. However, its effectiveness is still inconclusive. Thus, this systematic review will aim to assess the effectiveness and safety of EPSW for patients with LBP.In this systematic review, the electronic databases of Cochrane Central Register (...) of Controlled Trials, EMBASE, PUBMED, Cumulative Index to Nursing and Allied Health Literature, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific Journal Database, and Wanfang Data will be searched from inception to January 1, 2019. Randomized controlled trials and case-control studies that assessed the effectiveness and safety of EPSW for LBP will be included. The primary outcome is pain intensity. The secondary outcomes are functional status, quality

2019 Medicine

156. Global Case-Fatality Rates in Pediatric Severe Sepsis and Septic Shock: A Systematic Review and Meta-analysis. (PubMed)

PubMed, Web of Science, Excerpta Medica database, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and Cochrane Central systematically for randomized clinical trials and prospective observational studies from earliest publication until January 2017, using the keywords "pediatric," "sepsis," "septic shock," and "mortality."Studies involving children with severe sepsis and septic shock that reported CFRs were included. Retrospective studies and studies including only neonates were (...) Global Case-Fatality Rates in Pediatric Severe Sepsis and Septic Shock: A Systematic Review and Meta-analysis. The global patterns and distribution of case-fatality rates (CFRs) in pediatric severe sepsis and septic shock remain poorly described.We performed a systematic review and meta-analysis of studies of children with severe sepsis and septic shock to elucidate the patterns of CFRs in developing and developed countries over time. We also described factors associated with CFRs.We searched

2019 JAMA pediatrics

157. Pre-hospital mechanical ventilation in septic shock patients. (PubMed)

and retrospectively analysed. Septic shock was defined according to the international sepsis-3 consensus conference. Patient's characteristics, interventions, prehospital ventilatory parameters and outcome were retrieved from medical records. The association between the tidal volume indexed on ideal body weight (VTIBW) and mortality at day 28 was evaluated.Fifty-nine patients were included. Septic shock was mainly associated with pulmonary (64%) infection. Mean pre-hospital VTIBW was 7 ± 1 ml.kg-1 in the overall (...) Pre-hospital mechanical ventilation in septic shock patients. Mechanical ventilation can cause deleterious effects on the lung and thus alter patient's prognosis. The aim of this study was to describe the characteristics of prehospital mechanical ventilation in patients with septic shock requiring mechanical ventilation in the prehospital setting.Patients with septic shock subjected to pre-hospital intubation and mechanical ventilation by a mobile intensive care unit were consecutively included

2019 American Journal of Emergency Medicine

158. Outcomes in Cardiogenic Shock from Acute Coronary Syndrome Depending on Severity of Obesity. (PubMed)

Outcomes in Cardiogenic Shock from Acute Coronary Syndrome Depending on Severity of Obesity. We reviewed 54,044 adult cases of cardiogenic shock (CS) accompanying acute coronary syndrome from the 2005 to 2014 Nationwide Inpatient Sample. We evaluated outcomes among patients who were nonobese, obese (body mass index 30.0 to 39.9 kg/m2) and extremely-obese (body mass index ≥40 kg/m2). A multivariate analysis was performed to assess their impact on in-hospital mortality. There were 3,602 (6.6

2019 American Journal of Cardiology

159. Therapeutic efficacy of extracorporeal shock wave combined with hyaluronic acid on knee osteoarthritis. (PubMed)

Therapeutic efficacy of extracorporeal shock wave combined with hyaluronic acid on knee osteoarthritis. This retrospective study investigated the efficacy and safety of extracorporeal shock wave (EPSW) combined with hyaluronic acid (HA) for patients with knee osteoarthritis (KOA).This retrospective study included 70 patients with KOA. Of those subjects, 35 of them received EPSW combined HA, and were allocated to a treatment group, while the other 35 participants received HA alone and were (...) allocated to a control group. Patients in both groups were treated for a total of 8 weeks. The primary outcome was measured by visual analog scale (VAS). The secondary outcomes were measured by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and knee injury and osteoarthritis outcome score (KOOS). In addition, adverse events (AEs) were also evaluated. All outcomes were measured before and after the treatment.After the treatment, patients in the treatment group exhibited better

2019 Medicine

160. One-Year Outcomes after different PCI Strategies in Cardiogenic Shock.

One-Year Outcomes after different PCI Strategies in Cardiogenic Shock. One-Year Outcomes after different PCI Strategies in Cardiogenic Shock. – Less Is More Search for: Simpler & Better Medicine Menu / Summary: For patients with acute myocardial infarction and cardiogenic shock due to multi-vessel coronary artery disease, an approach of culprit-lesion-only percutaneous coronary intervention (PCI) may be associated with lower rates of death or severe renal failure at 30-day follow-up compared (...) to an approach of immediate multivessel PCI, and the two approaches do not appear to result in significantly different rates of death at 1 year followup. Strength of Recommendation = B Advertisements Like this: Like Loading... Categories: Tags: , Post navigation Simpler, Better Medicine Indexing evidence for "less medical” approaches with better outcomes. Recent entries Search by key words Search for: Search By Strength of Recommendation (SOR) (42) (244) (27) Search by clinical category For regular updates

2018 Less Is More Blog

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