Discriminant Ability of the Shock Index, Modified Shock Index, and Reverse Shock Index Multiplied by the Glasgow Coma Scale on Mortality in Adult Trauma Patients: A PATOS Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 105,641
- 主要终点
- Discriminant power of SI, MSI, and rSIG on short-term mortality for adult traumatic patients
研究概览
简要总结
We evaluated a cohort of adult trauma patients transported to emergency departments. The first vital signs were used to calculate the SI, MSI, and rSIG. The areas under the receiver operating characteristic curves (AUROCs) and test results were used to compare the discriminant performance of the indices on short-term mortality and poor functional outcome. A subgroup analysis of geriatric patients, traumatic brain injury, penetrating injury, and non-penetrating injury was performed.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult patients (≥18 years) EMS-transported from January 2016 to December 2020
排除标准
- •Patients with missing entries of age, sex, triage, SBP, DBP, HR, or GCS were excluded.
- •Entries with missing records of in-hospital mortality or 30-day mortality were excluded from the short-term mortality cohort analyses.
- •Patients without a Modified Rankin Scale (MRS) record at discharge were excluded from the functional outcome cohort analyses.
结局指标
主要结局
Discriminant power of SI, MSI, and rSIG on short-term mortality for adult traumatic patients
时间窗: 30 days
AUROC in associated with short-term mortality with SI, MSI, rSIG
次要结局
- Discriminant power of SI, MSI, and rSIG on functional outcome for adult traumatic patients(We defined no symptoms, no significant disability, slight disability, and moderate disability (MRS 0-3) as favorable functional outcomes and moderately severe disability, severe disability, and death (MRS 4-6) as poor functional outcomes)
研究者
Tse-Hao Chen
Principal Investigator
Mackay Memorial Hospital
