İLKAY GÜLER, İZZET USTAALİOĞLU
Southern Clinics of Istanbul Eurasia - 2023;34(1):31-35
INTRODUCTION: This study aimed to investigate the association between the shock index (SI) values at primary admission and inhospital mortality. Patients diagnosed with pulmonary embolism (PE) in the emergency department have been covering this study. METHODS: Data of 205 patients were analyzed retrospectively. Logistic regression model was used to examine the relationship between SI and inhospital mortality. The predictive value of SI in estimating inhospital mortality was calculated using the receiver operating characteristic curve. Results: Patients’ mean age included in the study was 67.1±16.6, of which 114 (55.6%) were female. The mortality rate was 24.9%. A significant independent effect of SI was observed in predicting inhospital mortality during a multivariate logistic regression model (p<0.05). When the cutoff value of the SI in determining inhospital mortality is >0.87, the sensitivity of the score was found to be 100.0%, specificity 90.9%, negative predictive value 100.0%, and positive predictive value 78.5%. DISCUSSION AND CONCLUSION: SI; It has features that can be calculated easily, quickly, and cheaply. By using SI in PE patients, more accurate prognosis can be determined, and a faster and more accurate treatment can be given to patients, thus contributing to the reduction of PE-related deaths.
