Emergency medical services shock index is the most accurate predictor of patient outcomes after blunt torso trauma.

ABSTRACT:

Introduction

Shock index (SI) and delta shock index (∆SI) predict mortality and blood transfusion in trauma patients. This study aimed to evaluate the predictive ability of SI and ∆SI in a rural environment with prolonged transport times and transfers from critical access hospitals or level IV trauma centers.

Methods

We completed a retrospective database review at an American College of Surgeons verified level 1 trauma center for 2 years. Adult subjects analyzed sustained torso trauma. Subjects with missing data or severe head trauma were excluded. For analysis, poisson regression and binomial logistic regression were used to study the effect of time in transport and SI/∆SI on resource utilization and outcomes. p < 0.05 was considered significant.

Results

Complete dat

SUBMITTER: Bardes JM 

PROVIDER: S-EPMC8887781 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature