The Shock Index as a Predictor of Vasopressor Use in Emergency Department Patients with Severe Sepsis
[Article]
Wira, Charles R; Francis, Melissa W; Bhat, Sundeep; Ehrman, Robert; Conner, David; Siegel, Mark
Introduction: Severe sepsis is a leading cause of non-coronary death in hospitals across the United States. Early identification and risk stratification in the emergency department (ED) is difficult because there is limited ability to predict escalation of care. In this study we evaluated if a sustained shock index (SI) elevation in the ED was a predictor of short-term cardiovascular collapse, defined as vasopressor dependence within 72 hours of initial presentation.
2014
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
15/1
Wira, Charles R; Francis, Melissa W; Bhat, Sundeep; Ehrman, Robert; Conner, David; Siegel, Mark