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Shock index and its variants as predictors of mortality in severe traumatic brain injury.
World J Crit Care Med
March 2024
Institute of Informatics, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre 91501-970, Rio Grande do Sul, Brazil.
Background: The increase in severe traumatic brain injury (sTBI) incidence is a worldwide phenomenon, resulting in a heavy disease burden in the public health systems, specifically in emerging countries. The shock index (SI) is a physiological parameter that indicates cardiovascular status and has been used as a tool to assess the presence and severity of shock, which is increased in sTBI. Considering the high mortality of sTBI, scrutinizing the predictive potential of SI and its variants is vital.
View Article and Find Full Text PDFReverse Shock Index multiplied by Glasgow Coma Scale score as a point-of-care severity assessment for initial trauma management: A nationwide cohort study.
Injury
May 2024
Department of Emergency Medicine and Critical Care, Center Hospital of the National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan.
Article Synopsis
- The study examines the effectiveness of the Reverse Shock Index (rSIG) as a predictor for mortality and emergent interventions in severe trauma patients, utilizing data from the Japan Trauma Data Bank.
- It involves analyzing outcomes such as massive transfusions and surgical procedures to determine how well rSIG compares to other scoring systems like ABC and FASILA.
- Results indicate that rSIG is a reliable predictor for the need for massive transfusions, with a significantly higher predictive accuracy than other methods evaluated.
Response to: The rSIG for trauma: one size fits all?
Emerg Med J
July 2023
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, Germany.