Prehospital invasive vs. non-invasive blood pressure monitoring: Impact on shock index at hospital admission in critically ill patients - a prospective intervention study.

ABSTRACT:

Objectives

Hypotension and shock are potential modifiable contributors to adverse outcome. Inhospital, invasive blood pressure (IBP) monitoring is standard, while prehospital care mainly uses non-invasive blood pressure measurement. This study tested whether prehospital IBP monitoring improves shock index (SI) at hospital admission.

Methods

This prospective interventional study included patients requiring prehospital intubation, catecholamines, or fluid resuscitation. Patients were assigned to prehospital IBP or Non-IBP group - according to the directives of the emergency physician. Primary endpoint was the SI at hospital admission. Secondary endpoints included catecholamines doses, fluid volume and arterial blood gas parameters (pH, lactate, base excess) at admission. Multi

SUBMITTER: Ule J 

PROVIDER: S-EPMC12522479 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature