Shock Index, Pediatric Age-Adjusted Predicts Morbidity and Mortality in Children Admitted to the Intensive Care Unit

• DOI: 10.3389/fped.2021.727466
• Publication Date: 2021-09-28T07:27:02Z
• Authors: Kuo-Chen Huang; Ying Yang; Chao-Jui Li; Fu-Jen Cheng; Ying-Hsien Huang; Po-Chun Chuang; I-Min Chiu
• Keywords: shock index; 03 medical and health sciences; pediatric; 0302 clinical medicine; emergency department; SIPA; mortality; intensive care unit; Pediatrics; RJ1-570; 3. Good health

Background: The shock index, pediatric age-adjusted (SIPA), defined as the maximum normal heart rate divided by minimum systolic blood pressure age, can help predict risk of morbidity and mortality after trauma. This study investigated whether SIPA be used an early index prognosis for non-traumatic children visiting emergency department (ED) were directly admitted to intensive care unit (ICU). We hypothesized that increase in values first 24 h ICU admission would correlate with adverse outcomes. Methods: multicenter retrospective enrolled patients aged 1–17 years who presented ED from January 1, 2016, December 31, 2018, Taiwan. value was calculated at time arrival admission. Cutoffs included >1.2 (patient age: 1–6), >1.0 7–12), >0.9 12–17). utility trends during analyzed Results: In total, 1,732 included. Of these, 1,050 (60.6%) under 6 old, median Pediatric Risk Mortality score 7 (5–10). 4.7% died, 12.9% received mechanical ventilator (MV) support, 11.1% inotropic support. associated increased [odds ratio (OR): 4.366, 95% confidence interval (CI): 2.392–7.969, p < 0.001], MV support (OR: 1.826, CI: 1.322–2.521, 0.001), 2.306, 1.599–3.326, a long hospital length stay (HLOS) (2.903 days, 1.734–4.271, 0.001). Persistent abnormal 2.799, 1.566–5.001, = 1.457, 1.015–2.092, 0.041), 1.875, 1.287–2.833, HLOS (3.2 1.9–4.6, Patients decreased 0.258, 0.106–0.627, 0.003), while 3.055, 1.472–5.930, 0.002). Conclusions: ED, predicted high bad Monitoring could prognostication optimize management.