Sepsisli Hastalarda Transfüzyonu Belirlemede Şok İndekslerinin Rolü

Çakır, Esra; BİNDAL, Ahmet; YILMAZ, Pakize ÖZÇİFTCİ; Mutlu, Nevzat Mehmet; DOĞU, Cihangir

doi:10.15321/geneltipder.2021.298

GenelTipDer

2021

DOI: 10.15321/geneltipder.2021.298

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Sepsisli Hastalarda Transfüzyonu Belirlemede Şok İndekslerinin Rolü

Esra Çakır¹,

Ahmet BİNDAL²,

Pakize ÖZÇİFTCİ YILMAZ³

et al.

Abstract: 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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2024

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Prognostic Value of Shock Index, Modified Shock Index, and Age Shock Index in Patients with Sepsis in the Intensive Care Unit

Uluç

2024

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Objective: We aimed to evaluate the usability of the Shock Index (SI), Modified Shock Index (MSI), and Age Shock Index (ASI) in predicting clinical outcomes and mortality in sepsis patients followed in the intensive care unit. Methods: Records of patients admitted to the intensive care unit of Muş State Hospital between January 2022, and April 2024, who developed sepsis were retrospectively recorded from the hospital data system. Results: A total of 127 patients were included in the study. The average age of these patients was found to be 50.83±12.01 years. The average age of discharged patients was 46.14±10.12 years, while the average age of deceased patients was 58.54±10.89 years. In the gender distribution, 63.78% of all patients were male and 36.22% were female (p=0.028). SI was determined as 0.88±0.33 in discharged patients and 1.11±0.32 in deceased patients (p=0.0002). MSI was found to be 1.45±0.33 in discharged patients and 1.68±0.32 in deceased patients (p=0.00001). ASI was determined as 40.73±18.41 in discharged patients and 64.94±22.85 in deceased patients (p=0.0001). The cut-off value for SI was found to be 0.76, with an AUC value of 0.69. The cut-off value for the MSI was determined to be 1.35, with an AUC value of 0.72. The cut-off value for the ASI was found to be 38.76, with an AUC value of 0.85. Conclusion: All three shock indices were statistically significant in predicting mortality in sepsis patients. We believe they are valuable indices that can be used bedside and non-invasively in intensive care units.

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Prognostic Value of Shock Index, Modified Shock Index, and Age Shock Index in Patients with Sepsis in the Intensive Care Unit

Uluç

2024

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

View full text Add to dashboard Cite

show abstract

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Sepsisli Hastalarda Transfüzyonu Belirlemede Şok İndekslerinin Rolü

Cited by 1 publication

References 18 publications

Prognostic Value of Shock Index, Modified Shock Index, and Age Shock Index in Patients with Sepsis in the Intensive Care Unit

Prognostic Value of Shock Index, Modified Shock Index, and Age Shock Index in Patients with Sepsis in the Intensive Care Unit

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