„Schockindex”

Allgöwer, M.; Burri, C.

doi:10.1055/s-0028-1106070

Cited by 253 publications

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“…We analyzed heart rate in relation to SBP by calculating the shock index (SI), defined as heart rate divided by SBP (14). SI is inversely associated with favorable physiological measurements including cardiac index, stroke volume and left ventricular stroke work (15).…”

Section: Methodsmentioning

confidence: 99%

Donor Hemodynamics as a Predictor of Outcomes After Kidney Transplantation From Donors After Cardiac Death

Allen

Billig

Reese

et al. 2016

American Journal of Transplantation

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Section: Methodsmentioning

confidence: 99%

Donor Hemodynamics as a Predictor of Outcomes After Kidney Transplantation From Donors After Cardiac Death

Allen

Billig

Reese

et al. 2016

American Journal of Transplantation

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“…6,7 In both these instances it has been a useful prognostic measure and has shown to be associated with poor clinical outcomes. .…”

Section: 5mentioning

confidence: 99%

The shock index predicts acute mortality outcomes in stroke

McCall¹,

Musgrave²,

Potter³

et al. 2015

International Journal of Cardiology

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“…The shock index (SI), expressed as a ratio of heart rate to systolic blood pressure (BP), was used initially to detect hypovolemia in patients with septic or hypovolemic shock, indicated by a SI value of >0.7 1, 2. In addition, high SI has been reported to have prognostic significance in trauma3 and acute cardiovascular events such as acute myocardial infarction and stroke 4, 5, 6.…”

mentioning

confidence: 99%

Shock Index Predicts Patient‐Related Clinical Outcomes in Stroke

Myint

Sheng

Xian

et al. 2018

JAHA

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BackgroundThe prognostic value of shock index (SI), heart rate divided by systolic blood pressure, in stroke for clinical outcomes other than mortality is not well understood.Methods and ResultsWe examined the Get With The Guidelines–Stroke (GWTG‐Stroke) data to explore the usefulness of SI in predicting in‐hospital outcomes in 425 808 acute stroke cases (mean age: 71.0±14.5 years; 48.8% male; 89.7% ischemic stroke and 10.3% intracerebral hemorrhage) admitted between October 2012 and March 2015. Compared with patients with SI of 0.5 to 0.7, patients with SI >0.7 (13.6% of the sample) had worse outcomes, with adjusted odds ratios of 2.00 (95% confidence interval [CI], 1.92–2.08) for in‐hospital mortality, 1.46 (95% CI, 1.43–1.49) for longer length of hospital stay >4 days, 1.50 (95% CI, 1.47–1.54) for discharge destination other than home, 1.41 (95% CI, 1.38–1.45) for inability to ambulate independently at discharge, and 1.52 (95% CI, 1.47–1.57) for modified Rankin Scale score of 3 to 6 at discharge. Results were similar when analyses were confined to those with available National Institutes of Health Stroke Scale (NIHSS) or within individual stroke subtypes or when SI was additionally included in the models with or without blood pressure components. Every 0.1 increase in SI >0.5 was associated with significantly worse outcomes in linear spline models. The addition of SI to existing GWTG‐Stroke mortality prediction models without NIHSS demonstrated modest improvement, but little to no improvement was noted in models with NIHSS.Conclusions SI calculated at the point of care may be a useful prognostic indicator to identify those with high risk of poor outcomes in acute stroke, especially in hospitals with limited experience with NIHSS assessment.

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„Schockindex”

Cited by 253 publications

References 0 publications

Donor Hemodynamics as a Predictor of Outcomes After Kidney Transplantation From Donors After Cardiac Death

Donor Hemodynamics as a Predictor of Outcomes After Kidney Transplantation From Donors After Cardiac Death

The shock index predicts acute mortality outcomes in stroke

Shock Index Predicts Patient‐Related Clinical Outcomes in Stroke

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