Shock index

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The shock index (SI) is the heart rate (HR) divided by systolic blood pressure (SBP) .

The pretransport shock index can predict the need for resuscitation in the hospital[1].

Other variations are[2]:

  • Shock index (SI) is the heart rate / systolic blood pressure (SBP). The normal range is 0.5–0.7
  • Modified Shock Index (MSI) is the heart rate / mean arterial pressure (MAP)
  • Age Shock Index (age SI) is SI * age.

Of these three measures, for GI bleeding, Age SI may better prognosticate[2].

References

  1. St John AE, McCoy AM, Moyes AG, Guyette FX, Bulger EM, Sayre MR (2018). "Prehospital Lactate Predicts Need for Resuscitative Care in Non-hypotensive Trauma Patients". West J Emerg Med. 19 (2): 224–231. doi:10.5811/westjem.2017.10.34674. PMC 5851492. PMID 29560047.
  2. 2.0 2.1 Kocaoğlu S, Çetinkaya HB (2021). "Use of age shock index in determining severity of illness in patients presenting to the emergency department with gastrointestinal bleeding". Am J Emerg Med. 47: 274–278. doi:10.1016/j.ajem.2021.05.008. PMID 33993044 Check |pmid= value (help).

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