Shock index as a marker for significant injury in trauma patients
Shock index as a marker for significant injury in trauma patients
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DOI：
10.1111/j.1553-2712.1996.tb03351.x
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发表时间：
1996-11-01
影响因子：
4.4
通讯作者：
Knotts, FB
中科院分区：
文献类型：
--
作者：
King, RW;Plewa, MC;Knotts, FB
目的：为了确定休克指数（SI），定义为心率（HR）与收缩压（SEP）的比值，是否是创伤患者严重损伤的有用标志物，方法：使用回顾性数据库分析将SI与临床测量相关联：24小时内死亡，损伤严重程度评分（ISS）大于或等于16，重症监护室（ICU）停留大于或等于1天，输血量（BT）大于或等于2个单位，回顾了一个一级创伤中心24个月内的连续性创伤患者;排除不需要创伤小组会诊的患者，或记录不完整、严重头部损伤的患者，（格拉斯哥昏迷量表评分≤ 8）或年龄
Objective: To determine whether the shock index (SI), defined as the ratio of heart rate (HR) to systolic blood pressure (SEP), is a useful marker for significant injury in trauma patients, Methods: A retrospective database analysis was used to relate the SI to the clinical measures: death within 24 hours, injury severity score (ISS) greater than or equal to 16, intensive care unit (ICU) stay greater than or equal to 1 day, and amount of blood transfused (BT) greater than or equal to 2 units, Consecutive trauma patients seen at one level I trauma center over a 24-month period were reviewed; excluded were patients not requiring trauma team consultation, or those with either incomplete records, severe head injury (Glasgow Coma Scale score less than or equal to 8), or age