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

Authors : Guner YURTSEVER, Adem ÇAKIR, Ejder Saylav BORA

Pages : 831-839

Doi:10.18621/eurj.1340926

View : 136 | Download : 109

Publication Date : 2023-09-04

Article Type : Research Paper

Abstract :Objectives: The shock index insert ignore into journalissuearticles values(SI); and its derivatives play a crucial role in rapid prognosis and risk assessment, particularly in emergent scenarios like ST-segment elevation myocardial infarction insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(MSI);, age SI insert ignore into journalissuearticles values(ASI);, and age-modified SI insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(AUC: 0.802);, followed by AMSI insert ignore into journalissuearticles values(AUC: 0.798);. AMSI demonstrated superior significance in estimating major adverse cardiovascular events insert ignore into journalissuearticles values(MACE); insert ignore into journalissuearticles values( 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.
Keywords : Emergency department, mortality, shock index, modified shock index, STEMI