Key result
An initial shock index >1.3 at emergency department presentation strongly predicted hospital admission (+LR 6.64) and inpatient mortality (+LR 5.67).
Why the study?
Data were scarce regarding the utility of shock index in predicting inpatient mortality and hospital admission in the general ED population.
Does the initial shock index at presentation predict hospital admission and inpatient mortality in the general adult emergency department population?
Observational (n=526,455,251)
Yes
Does the initial shock index at presentation predict hospital admission and inpatient mortality in the general adult emergency department population?
Effect estimate: +LR 6.64 for admission, +LR 5.67 for mortality (for SI>1.3)
An initial shock index > 1.3 at emergency department presentation is a strong predictor of hospital admission and inpatient mortality in the general adult population.
No takes yet. Share an insight, caveat, or question.
SI >1.3 may support early risk stratification in ED adults; leaves open whether it improves triage or outcomes pending prospective validation.
Jalbout et al. (2019) conducted an observational in Emergency department visits (n=526,455,251). Initial shock index (SI) vs. Lower shock index values was evaluated on Hospital admission and inpatient mortality (+LR 6.64 for admission, +LR 5.67 for mortality (for SI>1.3)). An initial shock index >1.3 at emergency department presentation strongly predicted hospital admission (+LR 6.64) and inpatient mortality (+LR 5.67).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: