Open AccessThe ratio of shock index to pulse oxygen saturation predicting mortality of emergency trauma patients
Author(s) -
Junfang Qi,
Li Ding,
Lei Bao,
Chen Du
Publication year - 2020
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0236094
Subject(s) - medicine , emergency department , receiver operating characteristic , oxygen saturation , shock (circulatory) , area under the curve , confidence interval , injury severity score , anesthesia , surgery , poison control , oxygen , emergency medicine , injury prevention , chemistry , organic chemistry , psychiatry
Objective To test the following hypothesis: the ratio of shock index to pulse oxygen saturation can better predict the mortality of emergency trauma patients than shock index. Methods 1723 Patients of trauma admitted to the Emergency Department of the First Affiliated Hospital of Soochow University from 1 November 2016 to 30 November 2019 were retrospectively evaluated. We defined SS as the ratio of SI to SPO2, and the mortality of trauma patients in the emergency department as end-point of outcome. We calculated the crude HR of SS and adjusted HR with the adjustment for risk factors including sex, age, revised trauma score (RTS) by Cox regression model. ROC curve analyses were performed to compare the area under the curve (AUC) of SS and SI. Results The crude HR of SS was: 4.31, 95%CI (2.89–6.42) and adjusted HR: 3.01, 95%CI(1.86–4.88); ROC curve analyses showed that AUC of SS was higher than that of shock index (SI), and the difference was statistically significant: 0.69, 95%CI(0.55–0.83) vs 0.65, 95%CI (0.51–0.79), P = 0.001. Conclusion The ratio of shock index to pulse oxygen saturation is good predictor for emergency trauma patients, which has a better prognostic value than shock index.