Correlation of Index Shock with Modified Index Shock with Hospital Outcome of Patients Referred to Emergency

Abstract

Trauma is one of the most important health problems in the world. In this regard, the shock index criterion is an appropriate tool for evaluating trauma patients in emergencies. Materials and methods 359 cases were selected from the records of patients referred to the Emam Reza Emergency Department and after collecting data through a checklist containing demographic data, trauma mechanism, patient transfer, location and duration of hospitalization and final outcomes. Patients were evaluated and evaluated for predictive power of the index index in hospitalization, mortality and outcome. Data were analyzed by SPSS software using descriptive and analytical statistics. Results The mean age of the present study was 30 years. The majority of patients were male, and the type of patient transported to the hospital with the highest percentage (86.1%) was the ambulance. Car and motorcycle accidents and falling from altitude were the most common mechanisms of trauma and the most common cause of death, respectively. The majority of patients (66.3%) were discharged after recovery and only 27.9% of the patients underwent surgery. In terms of location, the emergency was the largest percentage of hospital admissions. There was a significant correlation between the index index with patient status and the need for surgery, p <0.0001. There was also a significant difference in the amount of blood products received with the shock index condition. The interval between trauma and emergency room arrival was significantly different between the shock index and the patient condition at normal and below 0.7, but was not significant at positive index. Also, the interval between arrival to emergency room and transfer to operating room or ward in terms of shock index and patient status was only positive in the index