Shock index in diagnosing early acute hypovolemia

Birkhahn, Robert; Gaeta, Theodore J.; Terry, D J; Bove, Joseph; Tloczkowski, John

doi:10.1016/j.ajem.2005.02.029

Cited by 192 publications

(150 citation statements)

References 9 publications

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“…14 Ellos resaltan que el IS puede ser un indicador preciso de cambios compensatorios en el sistema cardiovascular secundario a la hemorragia. 14 El índice de shock ya se ha relacionado con la detección temprana 15 En ambos grupos se evidencio un índice de shock anormal (> 0.7) y con evidencia de inestabilidad hemodinámica (> 1.0). 16 Sin embargo no existe ninguna publicación en la cual se haya intentado usar este índice para predecir CCD, el resultado del estudio a pesar de la asociación de estudios previos del IS a los pacientes más críticos y severos victimas del trauma, no es suficientemente fuerte para encontrar un punto de corte, por lo cual no es candidato para ser incluido en protocolos de Trauma, a pesar de evidenciarse un IS mayor en los pacientes con CCD.…”

Section: Discussionunclassified

Indice de Shock: ¿Puede Predecir La Necesidad de Cirugia de Conrol de Daños En Trauma Penetrante?

Ordóñez¹,

Orozco²,

Puyana³

et al. 2017

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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Introducción:Valores elevados del Índice de Shock (IS) se han asociado con un incremento en la mortalidad y con la necesidad de requerimiento de transfusiones masivas en pacientes traumatizados, pero su habilidad para identificar pacientes que requieran Cirugía de Control de Daños (CCD) es desconocida. El objetivo de este estudio fue identifica un punto de corte del IS para predecir necesidad de CCD en pacientes con trauma penetrante. Materials y métodos:Estudio retrospectivo por un periodo de 10 años que incluyo todos los pacientes adultos que ingresaron por trauma penetrante de torso a un Centro de Trauma de referencia. El IS fue calculado al ingreso y los pacientes se dividieron en los que necesitaron CCD y los que no (No-CCD). Para determinar la exactitud del IS identificando pacientes que requirieron CCD se calculo el Área Bajo la Curva ROC (AUROC) del 95%. Conclusión: El IS puede ser en cierto grado indicativo de la necesidad de CCD en los pacientes con trauma penetrante de torso, sin embargo un punto específico de corte para predecir CCD no fue estadísticamente encontrado. Source of support: Nil Conflict of interest: None ABSTRACT Introduction:The objective of our study was to identify a possible shock index (SI) cutoff number that could reliable predicts the need for damage control surgery (DCS) in penetrating trauma patients. Materials and methods:A retrospective 10-year study (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015) which included all adult patients that suffered penetrating torso trauma at a level I trauma center. The SI was calculated upon admission and patients were divided into two groups: those that required DCS and those that did not (No-DCS). A 95% confidence interval for the area under a receiver operating characteristic curve (AUROC) was used to determine the accuracy of SI in detecting patients that would require DCS.Results: A total of 747 patients were included, 92.3% were male and 80% suffered gunshot wounds. The DCS group had a total of 331 (44%) Conclusions:We have shown that SI can be indicative to some degree of the need for DCS in patients suffering penetrating torso trauma but a specific cutoff point that can precisely predict this need is statically unobtainable.

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Section: Discussionunclassified

Indice de Shock: ¿Puede Predecir La Necesidad de Cirugia de Conrol de Daños En Trauma Penetrante?

Ordóñez¹,

Orozco²,

Puyana³

et al. 2017

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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“…Here, bradycardia is defined as a heart rate of less than 40 bpm and hypotension as systolic blood pressure of less than 80 mmHg. This definition is visualized in Figure 1, including the boundary of the well-know shock index (HR/SBP > 0.7 [11]) as well as a critical maximum SBP of 200 mmHg. A typical response of a tilt positive patient is included as well, where HR and SBP cross critical values.…”

Section: Experimental Methodsmentioning

confidence: 99%

Hemodynamic Surrogate Measures Symplifying Neurally Mediated Syncope Management

Muehlsteff¹,

Ritz²,

Schulze³

et al. 2013

Biomedical Engineering / Biomedizinische Technik

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“…The prognostic value of lactate levels has not yet been defined in pediatric patients. Several investigators suggest using shock index (defined as heart rate/systolic blood pressure) as an indicator of tissue perfusion as it reflects both vascular and myocardial dysfunction (17). (18).…”

Section: Evaluation Of Volume Status In Pediatric Trauma Patientsmentioning

confidence: 99%

Fluid Resuscitation and Massive Transfusion Protocol in Pediatric Trauma

Marjanović¹,

Budić²

2016

Acta Facultatis Medicae Naissensis

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Trauma is the leading cause of morbidity and mortality in children due to the occurrence of hemorrhagic shock. Hemorrhagic shock and its consequences, anemia and hypovolemia, decrease oxygen delivery, due to which appropriate transfusion and volume resuscitation are critical. Guidelines for massive transfusion, in the pediatric trauma, have not been defined yet. Current data indicate that early identification of coagulopathy and its treatment with RBSs, plasma and platelets in a 1:1:1 unit ratio, and limited use of crystalloids may improve survival in pediatric trauma patients. Key words: fluid resuscitation, massive transfusion protocol, pediatric trauma

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Shock index in diagnosing early acute hypovolemia

Cited by 192 publications

References 9 publications

Indice de Shock: ¿Puede Predecir La Necesidad de Cirugia de Conrol de Daños En Trauma Penetrante?

Indice de Shock: ¿Puede Predecir La Necesidad de Cirugia de Conrol de Daños En Trauma Penetrante?

Hemodynamic Surrogate Measures Symplifying Neurally Mediated Syncope Management

Fluid Resuscitation and Massive Transfusion Protocol in Pediatric Trauma

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