Prehospital shock index predicts outcomes after prolonged transport: A multicenter rural study.

ABSTRACT:

Background

Shock index (SI) predicts outcomes after trauma. Prior single-center work demonstrated that emergency medical services (EMSs) initial SI was the most accurate predictor of hospital outcomes in a rural environment. This study aimed to evaluate the predictive ability of SI in multiple rural trauma systems with prolonged transport times to a definitive care facility.

Methods

This retrospective review was performed at four American College of Surgeons-verified level 1 trauma centers with large rural catchment basins. Adult trauma patients who were transferred and arrived >60 minutes from scene during 2018 were included. Patients who sustained blunt chest or abdominal trauma were analyzed. Subjects with missing data or severe head trauma (Abbreviated Injury Scale score

SUBMITTER: Bardes JM 

PROVIDER: S-EPMC10038863 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature