Shock index increase from the field to the emergency room is associated with higher odds of massive transfusion in trauma patients with stable blood pressure: A cross-sectional analysis.
Shao-Chun WuCheng-Shyuan RauSpencer C H KuoShiun-Yuan HsuHsiao-Yun HsiehChing-Hua HsiehPublished in: PloS one (2019)
This study indicated that, in trauma patients with stable blood pressure at the ER, the accuracy of prediction of the requirement for MT by ΔSI is low. However, the size of the delta is significantly associated with need for MT and a lack of improvement in the patient's SI at the ER compared to that in the field significantly increases the odds of a need for MT.