Shock index as a predictor for mortality in trauma patients

Background: Traumatic injury accounts for 7.8% of all deaths globally, and 30% to 40% those are due hemorrhage. Shock Index (SI) has been found be useful in the recognition hemorrhage but no definite threshold predicting mortality determined. Our aim was determine whether a SI ≥ 1 adult trauma patients associated with increased in-hospital compared < 1.
 Methods: We conducted systematic review meta-analysis using Preferred Reporting Items Systematic Reviews Meta-Analysis guidelines. EMBASE, MEDLINE, Cochrane Library were searched controlled vocabulary, retrospective observational studies included. Studies included if they reported aged 16 years, measurement from emergency department or center, dividing groups 1. Risk bias assessed by Newcastle-Ottawa Scale, strength quality body evidence according GRADE. Data pooled random effects model.Results: screened 1239 citations an inter-rater reliability (Cohen’s kappa) 0.90 (95% CI 0.88-0.93). Thirteen comparative cohort including 639210 All significant higher having at first assessment center. Eleven meta-analysis. The risk ratio (RR) RR 4.29 confidence interval 3.00 - 6.12). overall low.
 Conclusion: This fourfold initial