Shock Index as a Predictor Outcome of Pediatric Abdominal Trauma in Mansoura Emergency Hospital | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 153, Volume 92, Issue 1, July 2023, Page 6472-6479 PDF (374.94 K) | ||||
| DOI: 10.21608/ejhm.2023.315686 | ||||
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| Abstract | ||||
| Background: The most frequent cause of morbidity and mortality in children is trauma. HR divided by the SBP results in the SI. It has been investigated in patients who are either at risk for shock or are already in it due to a number of different conditions such trauma, hge, and sepsis. Objective: This study aimedto assess the shock index of pediatric abdominal (SIPA) trauma as a predictor of short-term outcome of pediatric abdominal trauma. Patients and Methods: This was a prospective study on 123 paediatric patients under the age of eighteen who had either isolated or combined abdominal trauma. The patients were gathered from Mansoura Emergency Hospital between January 2022 and January 2023. Results: Comparing cases with high shock index (SI) to those with normal shock index, blood transfusions were significantly more common in cases with high SI. With sensitivity and specificity values of 80.6% and 79.5% respectively, SI had the validity to predict ICU admission. SI had an accuracy of 87.5 percent and a specificity of 80.6% in predicting the requirement for inotropic administration. SI had a sensitivity and specificity of 75% and 82.9% respectively, for predicting death (P=0.076). Conclusion: In pediatric trauma patients, elevated SI may be used as a precise and accurate predictor of morbidity and mortality. It enables quick evaluation of these individuals and is a useful tool that can be used to direct decisions about therapeutic care and resuscitation. | ||||
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