Title |
The Shock Index revisited – a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU®
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Published in |
Critical Care, August 2013
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DOI | 10.1186/cc12851 |
Pubmed ID | |
Authors |
Manuel Mutschler, Ulrike Nienaber, Matthias Münzberg, Christoph Wölfl, Herbert Schoechl, Thomas Paffrath, Bertil Bouillon, Marc Maegele, The TraumaRegister DGU® |
Abstract |
Isolated vital signs (for example, heart rate or systolic blood pressure) have been shown unreliable in the assessment of hypovolemic shock. In contrast, the Shock Index (SI), defined by the ratio of heart rate to systolic blood pressure, has been advocated to better risk-stratify patients for increased transfusion requirements and early mortality. Recently, our group has developed a novel and clinical reliable classification of hypovolemic shock based upon four classes of worsening base deficit (BD). The objective of this study was to correlate this classification to corresponding strata of SI for the rapid assessment of trauma patients in the absence of laboratory parameters. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 14% |
United Kingdom | 1 | 14% |
United Arab Emirates | 1 | 14% |
Ecuador | 1 | 14% |
Unknown | 3 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 57% |
Practitioners (doctors, other healthcare professionals) | 2 | 29% |
Scientists | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 4 | 2% |
Colombia | 1 | <1% |
Germany | 1 | <1% |
South Africa | 1 | <1% |
United Kingdom | 1 | <1% |
Canada | 1 | <1% |
Mexico | 1 | <1% |
Unknown | 244 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 35 | 14% |
Student > Master | 34 | 13% |
Researcher | 28 | 11% |
Other | 26 | 10% |
Student > Bachelor | 26 | 10% |
Other | 47 | 19% |
Unknown | 58 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 157 | 62% |
Nursing and Health Professions | 13 | 5% |
Agricultural and Biological Sciences | 4 | 2% |
Psychology | 3 | 1% |
Biochemistry, Genetics and Molecular Biology | 2 | <1% |
Other | 10 | 4% |
Unknown | 65 | 26% |