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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mortality group | Patients encountered in-hospital mortality or 30-day mortality |
| |
| Survival group | Patients did not encounter in-hospital mortality or 30-day mortality |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational | Other | Observational |
|
| Measure | Description | Time Frame |
|---|---|---|
| Discriminant power of SI, MSI, and rSIG on short-term mortality for adult traumatic patients | AUROC in associated with short-term mortality with SI, MSI, rSIG | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Discriminant power of SI, MSI, and rSIG on functional outcome for adult traumatic patients | AUROC in associated with functional outcome with SI, MSI, rSIG | 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 |
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Inclusion Criteria:
Exclusion Criteria:
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This study included adult patients (≥18 years) EMS-transported from January 2016 to December 2020. 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.
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| Name | Affiliation | Role |
|---|---|---|
| Tse-Hao Chen, M.D. | Mackay Memorial Hospital | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37222717 | Derived | Chen TH, Wu MY, Do Shin S, Jamaluddin SF, Son DN, Hong KJ, Jen-Tang S, Tanaka H, Hsiao CH, Hsieh SL, Chien DK, Tsai W, Chang WH, Chiang WC; PATOS Clinical Research Network. 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 retrospective cohort study. Int J Surg. 2023 May 1;109(5):1231-1238. doi: 10.1097/JS9.0000000000000287. |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D012774 | Shock, Traumatic |
| ID | Term |
|---|---|
| D012769 | Shock |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D057832 | Watchful Waiting |
| ID | Term |
|---|---|
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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