Evaluation of the Effects of Shock Index, Serum Lactate, and Plasma Osmolarity Levels on Morbidity and Mortality in Patients Diagnosed with Gastrointestinal System Bleeding in the Emergency Department

Q: What type of study is this?

This is a Validation Study study.

Burcu Rahimi; Sultan Göncü; Mustafa Yalimol; Nuşin Yalımol; Muhammed Yaşar Sever; Ali Sarıdaş; Abuzer Coşkun

doi:10.55994/ejcc.1870595

May 2, 2026Eurasian Journal of Critical Care

Evaluation of the Effects of Shock Index, Serum Lactate, and Plasma Osmolarity Levels on Morbidity and Mortality in Patients Diagnosed with Gastrointestinal System Bleeding in the Emergency Department

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Key Points

The study aims to evaluate the significance of simple parameters like shock index, serum lactate, and plasma osmolarity in predicting mortality in patients with GIS bleeding.
Retrospective observational study of 311 patients with GIS bleeding
Analysis of demographic data, clinical findings, and laboratory parameters
Comparison of survivors and non-survivors using statistical analyses
ROC curves generated for predictive performance assessment
Overall mortality was 2.9%, with higher rates in females (6.5% vs. 1.4%)
Non-survivors had significantly elevated lactate (9.71 mmol/L vs. 2.19 mmol/L) and osmolarity (327.25 mOsm/L vs. 291.08 mOsm/L)
Shock index was higher in non-survivors (1.34 vs. 0.80)

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Implication

Retrospective study reveals that elevated plasma osmolarity and lactate influence mortality in GIS bleeding patients, suggesting improved risk assessment in emergency settings.

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Cite This Study

Rahimi et al. (2026) studied this question.

synapsesocial.com/papers/69fbef68164b5133a91a3534 https://doi.org/10.55994/ejcc.1870595

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Evaluation of the Effects of Shock Index, Serum Lactate, and Plasma Osmolarity Levels on Morbidity and Mortality in Patients Diagnosed with Gastrointestinal System Bleeding in the Emergency Department

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Evaluation of the Effects of Shock Index, Serum Lactate, and Plasma Osmolarity Levels on Morbidity and Mortality in Patients Diagnosed with Gastrointestinal System Bleeding in the Emergency Department

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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