Shock Index as Outcome Predictor in Haemorrhage Trauma Patient

Abstract

To evaluate whether the shock index (SI),  is useful for predicting mortality in trauma patients accompanied by bleeding with various levels that admitted to the emergency department of Siloam Hospitals Kebon Jeruk, Jakarta, Indonesia. A database of trauma patients with 1 to 4 hemorrhage degree that admitted between January 2017 and November 2017 was constructed; the result according to the shock index was determined, generating a dichotomous variable with two groups: Group A (SI < 0.8) and Group B (SI > 0.8). Univariate analysis was performed. A total of 9 patients were analyzed, the mean of SI was 0,812 ± 0,311.  The average injury severity score was 13,81 ± 1,46. All patients were survive. The results showed that there was a change of shock index in trauma patients with different degrees of hemorrhage after resuscitation. The change in shock index depends on the SI type prior to resuscitation. The higher the SI value before resuscitation the greater the SI decrease occurs.