Utility of the shock index in patients with sepsis

The American Journal of the Medical Sciences
Jim Tseng, Kenneth Nugent

Abstract

The shock index (SI) equals the heart rate/systolic blood pressure and has been used to predict clinical outcomes, especially in trauma and surgery patients. The authors reviewed the literature to determine its utility in the management of patients with sepsis and in the prediction of adverse outcomes in these patients. The medical literature was searched using PubMed, Scopus, Web of Science and Google Scholar databases to identify articles in English on the SI in humans. These studies demonstrated that the SI could help evaluate the adequacy of fluid resuscitation and the potential response to additional fluid. It can predict the presence of lactic acidosis. The SI also helps predict the development of organ failure and mortality. Consequently, this easily available bedside measurement has utility in the identification, management and prediction of prognosis in patients with sepsis.

References

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May 17, 2011·European Journal of Internal Medicine·Prasanna SankaranPhyo K Myint
Jan 31, 2013·Intensive Care Medicine·R P DellingerUNKNOWN Surviving Sepsis Campaign Guidelines Committee including The Pediatric Subgroup
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Sep 10, 2013·Best Practice & Research. Clinical Anaesthesiology·Laurent GuerinJean-Louis Teboul
Apr 4, 2014·The Western Journal of Emergency Medicine·Charles R WiraMark Siegel

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Citations

Feb 24, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Sebastian J ReinstadlerIngo Eitel
Nov 4, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Robert C AmlandJason J Lyons
Mar 30, 2017·JMM Case Reports·Frederick W NagelDon Weiss
Nov 4, 2017·Southern Medical Journal·Supannee RassameehiranKenneth Nugent
Aug 7, 2020·International Journal of Molecular Sciences·Dominik JarczakAxel Nierhaus
Oct 8, 2020·Annals of Intensive Care·Axel NierhausMassimo Girardis
Jun 28, 2020·The American Journal of Emergency Medicine·Romain JouffroyBenoit Vivien

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