Discriminant Ability of the Shock Index, Modified Shock Index, and Reverse Shock Index Multiplied by the Glasgow Coma Scale on Mortality in Adult Trauma Patients: A PATOS Study

Mackay Memorial Hospital

Status

Completed

Conditions

Shock, Traumatic

Morality

Trauma

Treatments

Other: Observational

Study type

Observational

Funder types

Other

Identifiers

NCT05549986

21MMHIS389e

Details and patient eligibility

About

We evaluated a cohort of adult trauma patients transported to emergency departments. The first vital signs were used to calculate the SI, MSI, and rSIG. The areas under the receiver operating characteristic curves (AUROCs) and test results were used to compare the discriminant performance of the indices on short-term mortality and poor functional outcome. A subgroup analysis of geriatric patients, traumatic brain injury, penetrating injury, and non-penetrating injury was performed.

Enrollment

105,641 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Adult patients (≥18 years) EMS-transported from January 2016 to December 2020

Exclusion criteria

Patients with missing entries of age, sex, triage, SBP, DBP, HR, or GCS were excluded.
Entries with missing records of in-hospital mortality or 30-day mortality were excluded from the short-term mortality cohort analyses.
Patients without a Modified Rankin Scale (MRS) record at discharge were excluded from the functional outcome cohort analyses.