Validation of the Shock Index, Modified Shock Index, and Shock Index-Paediatric age-Adjusted (SIPA) for predicting length of stay and outcome in children admitted to a paediatric intensive care unit
نویسندگان
چکیده
Abstract Background Maintaining hemodynamic stability requires constant complex interaction between multiple vascular and extravascular factors. There are varieties of parameters that determine the same few them used to predict instability at earliest. Shock Index (SI), Modified (MSI) Index-Pediatric age-Adjusted (SIPA) have been studied constantly in different clinical settings. They best non-invasive measures for early prediction resource poor setting or community referral centers. We would like compare predictive value each parameter our tertiary care center. Methods It was a retrospective study carried out PICU centre includes data collected from 15 August 2019 14 2021 over period 2 years. recorded demographic data, age, gender, final diagnosis, outcome, length stay PICU. compared Outcome (Survived/Expired) with SI ≥ 0.7 < 0.7, MSI 1.3 SIPA > 1.22 (age 4–6 years) 1 (7–12 0.9 (13–16 years). Results This 235 children who were admitted during period. The median age 8 years 5 days mortality rate being 11.48% (27). Median SI, 0.78, 1.6 respectively. 61.70% (145) patients had 0.7. septic shock 0.92 on admission. 13.10% (19) those 14.89% (21). Mortality accordance ages years, 7–12 13–16 15.25% (9), 23% (9) 19.23% (5) Basically, designed monitor post trauma cases but we got significant correlation outcome conditions other than trauma. Conclusions MSI, simple bedside may be prioritizing require strict monitoring admission intervention whenever required. These predicting severity sepsis comparison diagnosis. can generalised any high-risk case.
منابع مشابه
Validation of the Shock Index, Modified Shock Index, and Age Shock Index for Predicting Mortality of Geriatric Trauma Patients in Emergency Departments
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ژورنال
عنوان ژورنال: Egyptian Pediatric Association Gazette
سال: 2022
ISSN: ['2090-9942', '1110-6638']
DOI: https://doi.org/10.1186/s43054-022-00103-4