Published online Dec 9, 2024. doi: 10.5492/wjccm.v13.i4.99587
Revised: September 24, 2024
Accepted: October 10, 2024
Published online: December 9, 2024
Processing time: 97 Days and 22.2 Hours
Most trauma occurs among young male subjects in Qatar. We examined the predictive values of the delta shock index (DSI), defined as the change in the shock index (SI) value from the scene to the initial reading in the emergency unit
To explore whether high DSI is associated with severe injuries, more interven
A retrospective analysis was conducted after data were extracted from the Na
This analysis included 13212 patients with a mean age of 33 ± 14 years, and 24% had a high DSI. Males accounted for 91% of the study population. The trauma activation level was higher in patients with a high DSI (38% vs 15%, P = 0.001). DSI correlated with RTS (r = -0.30), TRISS (r = -0.30), NTBU (r = 0.20), GCS (r = -0.24), ISS (r = 0.22), and HLOS (r = 0.14) (P = 0.001 for all). High DSI was associated with significantly higher rates of intubation, la
In addition to sex-biased observations, almost one-quarter of the study cohort had a higher DSI and were mostly young. High DSI correlated significantly with the other injury severity scores, which require more time and imaging to be ready to use. Therefore, DSI is a practical, simple bedside tool for triaging and prognosis in young patients with trauma.
Core Tip: The delta shock index (DSI) is defined as the change of SI value from the scene to the initial reading in the emergency unit (i.e., subtracting calculated SI at admission from SI at the scene). Among young trauma patients, high DSI is associated with severe injuries, more interventions, and worse outcomes (i.e., blood transfusion, exploratory laparotomy, ventilator-associated pneumonia, hospital length of stay, and in-hospital mortality). Apart from gender-biased observation, almost one-quarter of the study cohort had a higher DSI and were mostly young. High DSI correlated significantly with the other injury severity scores that need more time and imaging to be ready to use. Therefore, DSI is a practical, simple bedside tool for triaging and prognosis in young, injured patients.