Onalan Aysenur, Saricicek Bengu Mutlu
Department of Neurology, University of Health Sciences, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkiye.
Department of Emergency Medicine, University of Health Sciences, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkiye.
North Clin Istanb. 2024 Aug 7;11(4):353-358. doi: 10.14744/nci.2024.67434. eCollection 2024.
It has been reported that the shock index assists in the prediction of poor prognosis in stroke patients. However, the role of this index in predicting mortality and prognosis in patients with intracerebral hemorrhage has not been sufficiently investigated. The objective is to examine the correlation between the shock index and mortality and unfavorable clinical outcomes in individuals with intracerebral hemorrhage.
110 consecutive cases of intracerebral hemorrhage were evaluated in the emergency department. The shock index values of the patients were calculated using their initial blood pressures and HR. For descriptive purposes, the shock index values were categorized into three groups: <0.50, 0.50-0.70, and >0.70. The relationships of these three values and the mean shock index with hematoma volume, hematoma rupturing into the ventricle, length of hospital stay, complications during this period, and in-hospital and three-month mortality were examined.
There were 58 male patients in this study, with a mean age of 62.66±13.64 years. The mean baseline Glasgow Coma Scale score was 13.78±2.37, and the mean baseline shock index value was 0.51±0.13. The mean time of hospitalization was estimated to be 17.01±14.02 days. The mean in-hospital mortality rate was 19%, and the mean three-month mortality rate was 23%. No statistically significant differences were found in hematoma volume, hematoma rupturing into the ventricle, length of hospital stay, complications during this period, or in-hospital and three-month mortality according to the mean shock index value or shock index categories (<0.50, 0.50-0.70, and >0.70).
The shock index evaluated in the emergency department in patients with intracerebral hemorrhage is not related to mortality or morbidity.
据报道，休克指数有助于预测卒中患者的不良预后。然而，该指数在预测脑出血患者死亡率和预后方面的作用尚未得到充分研究。目的是探讨休克指数与脑出血患者死亡率及不良临床结局之间的相关性。
在急诊科对110例连续的脑出血病例进行评估。根据患者的初始血压和心率计算休克指数值。为了便于描述，将休克指数值分为三组：<0.50、0.50 - 0.70和>0.70。研究这三个值以及平均休克指数与血肿体积、血肿破入脑室、住院时间、在此期间的并发症以及住院期间和三个月死亡率之间的关系。
本研究中有58例男性患者，平均年龄为62.66±13.64岁。平均基线格拉斯哥昏迷量表评分为13.78±2.37，平均基线休克指数值为0.51±0.13。估计平均住院时间为17.01±14.02天。平均住院死亡率为19%，平均三个月死亡率为23%。根据平均休克指数值或休克指数类别（<0.50、0.50 - 0.70和>0.70），在血肿体积、血肿破入脑室、住院时间、在此期间的并发症或住院期间和三个月死亡率方面未发现统计学显著差异。
在急诊科评估的脑出血患者的休克指数与死亡率或发病率无关。
