Performance of shock index, lactate and physician's gestalt in predicting adverse events among critically ill adult patients at an Emergency Department in Tanzania.

ABSTRACT:

Introduction

Physicians working in Emergency Departments (ED) must be able to identify critically ill patients likely to deteriorate and prioritize their care. While shock index, point of lactate and physician gestalt are commonly used in high-income countries to predict adverse events their applicability has not been widely tested in low-middle income countries.

Methods

A prospective cohort study of all adult patients (≥18 years) triaged to the resuscitation area of Muhimbili ED in Tanzania from 1^st September - 31^st December 2022. Shock index (SI) on arrival, initial point of care lactate and the physician's estimates of the probability of an adverse event were recorded. The discriminatory ability of these index tests was compared for prediction of an

SUBMITTER: Medarakini HG 

PROVIDER: S-EPMC12593569 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature