Discriminant Ability of the Shock Index, Modified Shock Index, and Reverse Shock Index Multiplied by the Glasgow Coma Scale on Mortality in Adult Trauma Patients: A PATOS Study

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

105641 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-01-01

Study Completion Date

2020-12-31

Brief Summary

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We evaluated a cohort of adult trauma patients transported to emergency departments. The first vital signs were used to calculate the SI, MSI, and rSIG. The areas under the receiver operating characteristic curves (AUROCs) and test results were used to compare the discriminant performance of the indices on short-term mortality and poor functional outcome. A subgroup analysis of geriatric patients, traumatic brain injury, penetrating injury, and non-penetrating injury was performed.

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Detailed Description

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Conditions

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Trauma Shock, Traumatic Morality

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Mortality group

Patients encountered in-hospital mortality or 30-day mortality

Observational

Intervention Type OTHER

Observational

Survival group

Patients did not encounter in-hospital mortality or 30-day mortality

Observational

Intervention Type OTHER

Observational

Interventions

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Observational

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients (≥18 years) EMS-transported from January 2016 to December 2020

Exclusion Criteria

* Patients with missing entries of age, sex, triage, SBP, DBP, HR, or GCS were excluded.
* Entries with missing records of in-hospital mortality or 30-day mortality were excluded from the short-term mortality cohort analyses.
* Patients without a Modified Rankin Scale (MRS) record at discharge were excluded from the functional outcome cohort analyses.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes