Association of Prehospital Shock Index and Trauma Bay Uncrossmatched Red Blood Cell Transfusion With Multiple Transfusion

Day, Darcy; Anzelon, Kathleen; Conde, Franscisco A.

doi:10.1097/jtn.0000000000000192

Cited by 9 publications

(2 citation statements)

References 30 publications

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“…The normal SI is 0.7 (Haider et al, 2016). Based on previous research (Day et al, 2016; Jehan et al, 2019), SI ≥ 1 was selected for comparison with the ABC score for association with MT requirement.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Shock Index With the Assessment of Blood Consumption Score for Association With Massive Transfusion During Hemorrhage Control for Trauma

Day¹,

Ng²,

Huang³

et al. 2021

Journal of Trauma Nursing

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Background: Hemorrhage is a leading cause of early mortality following trauma. A massive transfusion protocol (MTP) to guide resuscitation while bleeding is definitively controlled may improve outcomes. Prompts to initiate massive transfusion (MT) include shock index (SI) and the Assessment of Blood Consumption (ABC) score. Objective: To compare SI with the ABC score for association with transfusion requirement, need for emergency hemorrhage interventions, and early mortality. Methods: A retrospective cohort analysis of trauma MTP activations at our Level I trauma center was conducted from January 1, 2012, to December 31, 2016. The study data were obtained from the Trauma Registry and the blood bank. An SI cutoff of 1.0 was chosen for comparison with the positive ABC score. Results: The study cohort included 146 patients. Shock index ≥ 1 had significant association with MT requirement (p = .002) whereas a positive ABC score did not (p = .65). More patients with SI ≥ 1 required bleeding control interventions (67% surgery, 47% interventional radiology) than patients having a positive ABC score (49% surgery, 29% interventional radiology). For geriatric patients who received MT, 65% had SI ≥ 1 but only 30% had a positive ABC score. Three-hour mortality following emergency department arrival was similar (60% SI ≥ 1, 62% positive ABC score). Conclusion: Shock index ≥ 1 outperformed a positive ABC score for association with MT requirement. Shock index is a simple tool registered nurses can independently utilize to anticipate MT.

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Section: Methodsmentioning

confidence: 99%

Comparison of Shock Index With the Assessment of Blood Consumption Score for Association With Massive Transfusion During Hemorrhage Control for Trauma

Day¹,

Ng²,

Huang³

et al. 2021

Journal of Trauma Nursing

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“…Yoğun bakım ünitesindeki (YBÜ) kritik hastalarda, travma ve sepsis hastalarında SI mortalitenin erken göstergesi olarak kullanılmaktadır (1,(4)(5)(6). Ayrıca SI, travma ve kanama gibi hipovolemik şoklu hastalarda transfüzyon ihtiyaçlarını belirlemede anlamlı bulunmuştur (4,(7)(8)(9). Şok indeksi, diyastolik kan basıncını (DKB) yansıtmadığı için, Liu ve ark.…”

Section: Introductionunclassified

Sepsisli Hastalarda Transfüzyonu Belirlemede Şok İndekslerinin Rolü

Çakır¹,

BİNDAL²,

YILMAZ³

et al. 2021

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Amaç: Şok indeksleri özellikle hemorajik şok durumunda transfüzyonu ön görmede kullanılmaktadır. Ancak sepsis hastalarında transfüzyonu belirlemek için şok indekslerinin kullanımı konusunda yeterli çalışma yoktur. Çalışmamızda yoğun bakım ünitesine (YBÜ) yatan sepsis ve septik şoktaki hastalarda şok indeksi (SI), modifiye şok indeksi (MSI) ve yaş şok indeksinin (YSI) hastaların eritrosit transfüzyonunu ön görmede kullanılabilirliğinin araştırılması amaçlanmıştır.

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