دورية أكاديمية
Association between the shock index on admission and in-hospital mortality in the cardiac intensive care unit.
| العنوان: | Association between the shock index on admission and in-hospital mortality in the cardiac intensive care unit. |
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| المؤلفون: | Mitchell Padkins, Kianoush Kashani, Meir Tabi, Ognjen Gajic, Jacob C Jentzer |
| المصدر: | PLoS ONE, Vol 19, Iss 4, p e0298327 (2024) |
| بيانات النشر: | Public Library of Science (PLoS), 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine LCC:Science |
| مصطلحات موضوعية: | Medicine, Science |
| الوصف: | BackgroundAn elevated shock index (SI) predicts worse outcomes in multiple clinical arenas. We aimed to determine whether the SI can aid in mortality risk stratification in unselected cardiac intensive care unit patients.MethodsWe included admissions to the Mayo Clinic from 2007 to 2015 and stratified them based on admission SI. The primary outcome was in-hospital mortality, and predictors of in-hospital mortality were analyzed using multivariable logistic regression.ResultsWe included 9,939 unique cardiac intensive care unit patients with available data for SI. Patients were grouped by SI as follows: < 0.6, 3,973 (40%); 0.6-0.99, 4,810 (48%); and ≥ 1.0, 1,156 (12%). After multivariable adjustment, both heart rate (adjusted OR 1.06 per 10 beats per minute higher; CI 1.02-1.10; p-value 0.005) and systolic blood pressure (adjusted OR 0.94 per 10 mmHg higher; CI 0.90-0.97; p-value < 0.001) remained associated with higher in-hospital mortality. As SI increased there was an incremental increase in in-hospital mortality (adjusted OR 1.07 per 0.1 beats per minute/mmHg higher, CI 1.04-1.10, p-Value < 0.001). A higher SI was associated with increased mortality across all examined admission diagnoses.ConclusionThe SI is a simple and universally available bedside marker that can be used at the time of admission to predict in-hospital mortality in cardiac intensive care unit patients. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1932-6203 |
| Relation: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0298327&type=printable; https://doaj.org/toc/1932-6203 |
| DOI: | 10.1371/journal.pone.0298327&type=printable |
| DOI: | 10.1371/journal.pone.0298327 |
| URL الوصول: | https://doaj.org/article/a486ccca3e554f3d941f9304144878bc |
| رقم الأكسشن: | edsdoj.486ccca3e554f3d941f9304144878bc |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19326203 |
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| DOI: | 10.1371/journal.pone.0298327&type=printable |