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Table 1 Patients classified by Shock Index: demographics, injury mechanism and severities as well as outcome parameters

From: The Shock Index revisited – a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU®

 

Group I (SI <0.6, no shock)

Group II (SI ≥0.6 to <1.0, mild shock)

Group III (SI ≥1.0 to <1.4, moderate shock)

Group IV (SI ≥1.4, severe shock)

Demographics

    

n (total, %)

6,482 (29.7)

12,097 (55.4)

2,272 (10.4)

1,002 (4.6)

Male

4,858 (74.9)

8,782 (72.6)

1,638 (72.1)

727 (72.6)

Age (years)

50.3 ± 20.4

43.4 ± 19.3

43.2 ± 19.8

44.1 ± 19.2

Blunt trauma

6,069 (96.0)

11,151 (94.5)

2,077 (92.4)

918 (92.4)

Injury severity

    

NISS (points)

    

 Mean ± standard deviation

25.1 ± 15.9

26.7 ± 16.0

35.7 ± 17.3

43.2 ± 17.5

 Median (IQR)

22 (14 to 34)

24 (17 to 34)

34 (22 to 48)

41 (29 to 57)

ISS (points)

    

 Mean ± standard deviation

19.3 ± 12.0

21.6 ± 13.3

29.7 ± 15.6

37.3 ± 16.8

 Median (IQR)

17 (10 to 25)

20 (12 to 29)

29 (18 to 38)

34 (25 to 48)

RISC (points)

13.6 ± 21.3

12.4 ± 21.5

24.1 ± 29.9

38.8 ± 34.2

AIS head ≥3 points

2,998 (45.9)

4,903 (40.3)

1,106 (48.3)

522 (51.7)

AIS thorax ≥3 points

2,355 (36.1)

5,410 (44.5)

1,343 (58.6)

703 (69.6)

AIS abdomen ≥3 points

495 (7.6)

1,703 (14.0)

621 (27.1)

417 (41.3)

AIS pelvis/extremities ≥3 points

1,399 (21.4)

3,869 (31.8)

1,044 (45.6)

581 (57.5)

Outcome

    

Mortality

712 (10.9)

1179 (9.7)

525 (22.9)

402 (39.8)

Hospital LOS (days)

    

 Mean ± standard deviation

17.1 ± 19.6

20.7 ± 22.2

26.1 ± 26.9

25.2 ± 30.4

 Median (IQR)

13 (5 to 22)

15 (6 to 27)

20 (6 to 37)

18 (0 to 38)

ICU (days)

    

 Mean ± standard deviation

7.5 ± 10.6

9.3 ± 12.1

14.0 ± 16.0

15.5 ± 18.9

 Median (IQR)

3 (1 to 10)

4 (2 to 13)

9 (3 to 21)

10 (1 to 24)

Ventilator days

    

 Mean ± standard deviation

4.8 ± 8.9

6.0 ± 10.1

9.8 ± 13.5

11.9 ± 16.1

 Median (IQR)

1 (1 to 5)

1 (0 to 8)

4 (1 to 14)

6 (1 to 18)

Multiple organ failure

689 (12.5)

1,567 (14.7)

569 (28.0)

309 (38.2)

Sepsis

353 (6.3)

855 (7.9)

296 (14.3)

178 (21.6)

  1. Data presented as n (%), mean ± standard deviation or median (interquartile range (IQR)). n = 21,853; P <0.001 for all parameters except sex (P = 0.003). AIS Abbreviated injury scale, ISS Injury severity score, LOS Length of stay, NISS New injury severity score, RISC Revised injury severity classification, SI Shock index.