Evaluation of the success of shock index and its derivatives in determining mortality in STEMI cases applied to emergency department

Guner Yurtsever; Adem Çakır; Ejder Saylav Bora

Article Details

Evaluation of the success of shock index and its derivatives in determining mortality in STEMI cases applied to emergency department

Authors:

Guner Yurtsever | Adem Çakır | Ejder Saylav Bora

Publisher:

Prusa Medical Publishing

Main Topics:

Emergency Medicine

Journal:

The European Research Journal Vol.9 Issue 5, pp.831-839

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288130

pISSN:

2149-3189

Keywords:

Abstract:

 Objectives: The shock index SI and its derivatives play a crucial role in rapid prognosis and risk assessment, particularly in emergent scenarios like ST-segment elevation myocardial infarction STEMI. Methods: This study was conducted as a single-centered retrospective. A total of 467 cases that met the study criteria with a confirmed STEMI diagnosis were included. The SI, modified SI MSI, age SI ASI, and age-modified SI AMSI scores of the cases were calculated and compared. In this study, p 0.05 was accepted as the statistical significance level. Results: Calculated scores were compared among cases meeting STEMI criteria. Mortal cases displayed significantly higher SI, MSI, ASI, and AMSI, as well as elevated heart rates and lowered SBP, DBP, and MAP values. ASI exhibited the highest predictive success for mortality AUC: 0.802, followed by AMSI AUC: 0.798. AMSI demonstrated superior significance in estimating major adverse cardiovascular events MACE  p  0.001 for each parameter. Conclusions: ASI proved most effective in gauging mortality risk, while AMSI excelled in predicting MACE risk among SI derivatives. These indices hold promise for guiding patient triage and emergency care in STEMI cases, owing to their simplicity and predictive capacity.

 Objectives: The shock index SI and its derivatives play a crucial role in rapid prognosis and risk assessment, particularly in emergent scenarios like ST-segment elevation myocardial infarction STEMI. Methods: This study was conducted as a single-centered retrospective. A total of 467 cases that met the study criteria with a confirmed STEMI diagnosis were included. The SI, modified SI MSI, age SI ASI, and age-modified SI AMSI scores of the cases were calculated and compared. In this study, p 0.05 was accepted as the statistical significance level. Results: Calculated scores were compared among cases meeting STEMI criteria. Mortal cases displayed significantly higher SI, MSI, ASI, and AMSI, as well as elevated heart rates and lowered SBP, DBP, and MAP values. ASI exhibited the highest predictive success for mortality AUC: 0.802, followed by AMSI AUC: 0.798. AMSI demonstrated superior significance in estimating major adverse cardiovascular events MACE  p  0.001 for each parameter. Conclusions: ASI proved most effective in gauging mortality risk, while AMSI excelled in predicting MACE risk among SI derivatives. These indices hold promise for guiding patient triage and emergency care in STEMI cases, owing to their simplicity and predictive capacity.

 Objectives: The shock index SI and its derivatives play a crucial role in rapid prognosis and risk assessment, particularly in emergent scenarios like ST-segment elevation myocardial infarction STEMI. Methods: This study was conducted as a single-centered retrospective. A total of 467 cases that met the study criteria with a confirmed STEMI diagnosis were included. The SI, modified SI MSI, age SI ASI, and age-modified SI AMSI scores of the cases were calculated and compared. In this study, p 0.05 was accepted as the statistical significance level. Results: Calculated scores were compared among cases meeting STEMI criteria. Mortal cases displayed significantly higher SI, MSI, ASI, and AMSI, as well as elevated heart rates and lowered SBP, DBP, and MAP values. ASI exhibited the highest predictive success for mortality AUC: 0.802, followed by AMSI AUC: 0.798. AMSI demonstrated superior significance in estimating major adverse cardiovascular events MACE  p  0.001 for each parameter. Conclusions: ASI proved most effective in gauging mortality risk, while AMSI excelled in predicting MACE risk among SI derivatives. These indices hold promise for guiding patient triage and emergency care in STEMI cases, owing to their simplicity and predictive capacity.

 Objectives: The shock index SI and its derivatives play a crucial role in rapid prognosis and risk assessment, particularly in emergent scenarios like ST-segment elevation myocardial infarction STEMI. Methods: This study was conducted as a single-centered retrospective. A total of 467 cases that met the study criteria with a confirmed STEMI diagnosis were included. The SI, modified SI MSI, age SI ASI, and age-modified SI AMSI scores of the cases were calculated and compared. In this study, p 0.05 was accepted as the statistical significance level. Results: Calculated scores were compared among cases meeting STEMI criteria. Mortal cases displayed significantly higher SI, MSI, ASI, and AMSI, as well as elevated heart rates and lowered SBP, DBP, and MAP values. ASI exhibited the highest predictive success for mortality AUC: 0.802, followed by AMSI AUC: 0.798. AMSI demonstrated superior significance in estimating major adverse cardiovascular events MACE  p  0.001 for each parameter. Conclusions: ASI proved most effective in gauging mortality risk, while AMSI excelled in predicting MACE risk among SI derivatives. These indices hold promise for guiding patient triage and emergency care in STEMI cases, owing to their simplicity and predictive capacity.

Article Details

Evaluation of the success of shock index and its derivatives in determining mortality in STEMI cases applied to emergency department

Authors:

Guner Yurtsever | Adem Çakır | Ejder Saylav Bora

Publisher:

Prusa Medical Publishing

Main Topics:

Emergency Medicine

Journal:

The European Research Journal Vol.9 Issue 5, pp.831-839

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288130

pISSN:

2149-3189

Emergency department

mortality

shock index

modified shock index

STEMI

Issues

Article Details

Evaluation of the success of shock index and its derivatives in determining mortality in STEMI cases applied to emergency department

Authors: Guner Yurtsever | Adem Çakır | Ejder Saylav Bora

Publisher: Prusa Medical Publishing

Main Topics: Emergency Medicine

Journal: The European Research Journal Vol.9 Issue 5, pp.831-839

Document Type: Article

Publication Date: 4/2023

Document Language: English

Document ID (Org No.): 2001288130

pISSN: 2149-3189

Emergency department

mortality

shock index

modified shock index

STEMI

Issues

Authors:

Guner Yurtsever | Adem Çakır | Ejder Saylav Bora

Publisher:

Prusa Medical Publishing

Main Topics:

Emergency Medicine

Journal:

The European Research Journal Vol.9 Issue 5, pp.831-839

Document Type:

Article

Publication Date:

4/2023

Document Language:

English

Document ID (Org No.):

2001288130

pISSN:

2149-3189