Shock index thresholds to predict adverse outcomes in maternal hemorrhage and sepsis: A prospective cohort study.

Hannah L NathanPaul T SeedNatasha L HezelgraveAnnemarie De GreeffElodie LawleyJohn AnthonyWilhelm SteynDavid R HallLucy C ChappellAndrew H Shennan

Published in: Acta obstetricia et gynecologica Scandinavica (2019)

The shock index was a consistent predictor of outcomes compared with conventional vital signs in postpartum hemorrhage and sepsis. SI <.9 performed well as a rule-out test and SI .9-1.69 and SI ≥1.7 indicated increased risk of all outcomes in both cohorts. These thresholds may alert to the need for urgent intervention and prevent maternal deaths.

Keyphrases

acute kidney injury
room temperature
intensive care unit
septic shock
birth weight
pregnancy outcomes
type diabetes
pregnant women
physical activity
insulin resistance
weight gain