Predictive ability of shock index in survival of ICU admitted emergency surgery patients: A retrospective cohort study

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dc.authoridinal, volkan/0000-0003-2649-104X;
dc.authorwosidinal, volkan/A-6069-2018
dc.authorwosidEfe, Serdar/JAN-4839-2023
dc.contributor.authorInal, Volkan
dc.contributor.authorEfe, Serdar
dc.contributor.authorAdemoglu, Zeliha
dc.date.accessioned2024-06-12T11:00:16Z
dc.date.available2024-06-12T11:00:16Z
dc.date.issued2022
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBACKGROUND: Shock index (SI) is defined as the ratio of heart rate to systolic blood pressure and is a feasible and reliable tool to assess patients' circulatory status in emergency conditions. Its efficiency was shown in hemorrhagic shock, sepsis, trauma, and emergency triages. This study was planned to evaluate predictive ability of SI on 28-day survival of intensive care unit (ICU) admitted emergency surgery (eSurg) patients. METHODS: The study was conducted in a 20-bed capacity ICU of a University Hospital. Medical records of patients who were admitted to ICU after an eSurg between January 1, 2017, and December 31, 2019, were retrospectively scanned. Patients with age <18 and >90, elective surgeries, no written consents, missing data, and lost to follow-up were excluded from the study. Patients age, gender, surgery type, associated medical comorbidity, ICU mechanic ventilatory (MV) length, length of stay (LOS), and 28-day survival status were recorded. Selected pre-operative (pre-op) and post-operative (post-op) laboratory parameters (hemoglobin [Hb], platelet count, international normalized ratio [INR], and pH) were collected, sequential organ failure assessment and SI scores were calculated. Data were statistically processed with 95% confidence interval and p<0.05 significance in relation to survival. RESULTS: Patient survival rate was 95%. Abdominal and gastrointestinal surgeries constituted 47% of the cases. The most frequent comorbidities were cardiovascular and pulmonary diseases. In statistical analyses, neither surgery type nor associated medical con-dition was related to patient outcome. The mean LOS was 2.3 days. The mean MV length was about 23 h and significantly shorter in survived patients (p<0.001, t=-7.5). The higher post-op Hb levels were related to the higher survival (p=0.020, t=2.4). Post-op higher INR levels were found as a negative prognostic factor for survival (p=0.025, t=-2.3). Both pre-op and post-op pH levels were significantly related to patient survival (p=0.001, t=1.9 and p<0.001, t=7.1). The lower post-op SI scores were predictive to the shorter MV lengths (p=0.010, t=1.9). A significant relation was presented between lower pre-op and especially post-op SI scores and patients' survival (p=0.001, t=-1.6 and p=0.001, t=-2.9). CONCLUSION: This study presented that SI scores successfully predicted patients' survival in ICU admitted eSurg patients. We believe that the SI forgotten in the dusty shelves of the literature does not get the importance it deserves. SI is a simplistic, reliable, and highly cost-effective assessment tool. Larger prospective RCTs should be planned to assess feasibility and reliability of SI in different patient populations.en_US
dc.identifier.doi10.14744/tjtes.2020.39898
dc.identifier.endpage301en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue3en_US
dc.identifier.pmid35485558en_US
dc.identifier.scopus2-s2.0-85127474350en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage296en_US
dc.identifier.trdizinid1137216en_US
dc.identifier.urihttps://doi.org/10.14744/tjtes.2020.39898
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1137216
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20771
dc.identifier.volume28en_US
dc.identifier.wosWOS:000764975400011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency Surgery (Esurg) Patientsen_US
dc.subjectEmergency Surgeryen_US
dc.subjectShock Indexen_US
dc.subjectSurvivalen_US
dc.subjectMortalityen_US
dc.subjectRisken_US
dc.subjectAdmissionen_US
dc.subjectUtilityen_US
dc.subjectInjuryen_US
dc.subjectAgeen_US
dc.titlePredictive ability of shock index in survival of ICU admitted emergency surgery patients: A retrospective cohort studyen_US
dc.typeArticleen_US

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