Prognostic performance of peripheral perfusion index and shock index combined with ESI to predict hospital outcome

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dc.authoridSIDDIKOGLU, Duygu/0000-0002-5093-7948
dc.authoridAKDUR, OKHAN/0000-0003-3099-6876
dc.contributor.authorDas, Murat
dc.contributor.authorBardakci, Okan
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorAkdur, Gokhan
dc.contributor.authorYilmaz, Musa Caner
dc.contributor.authorAkdur, Okhan
dc.contributor.authorBeyazit, Yavuz
dc.date.accessioned2025-01-27T20:27:39Z
dc.date.available2025-01-27T20:27:39Z
dc.date.issued2020
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: Peripheral perfusion index (PPI) and shock index (SI) are considered valuable predictors of hospital outcome and mortality in various operative and intensive care settings. In the present study, we evaluated the prognostic capabilities of these parameters for performing emergency department (ED) triage, as represented by the emergency severity index (ESI). Methods: This prospective cross-sectional study included 367 patients aged older than 18 years who visited the ED of a tertiary referral hospital. The ESI triage levels with PPI, SI, and other basic vital sign parameters were recorded for each patient. The hospital outcome of the patients at the end of the ED period, such as discharge, admission to the hospital and death were recorded. Results: A total of 367 patients (M/F: 178/189) admitted to the ED were categorized according to ESI and included in the study. A decrease in diastolic BP, SpO2 and PPI increased the likelihood of hospitalization and 30-day mortality. Based on univariate analysis, a significant improvement in performance was found by using age, diastolic BP, mean arterial pressure, SpO2, SI and PPI in terms of predicting high acuity level patients (ESI < 3). In the multivariable analysis only SpO2 and PPI were found to predict ESI < 3 patients. Conclusion: Peripheral perfusion index and SI as novel triage instruments might provide useful information for predicting hospital admission and mortality in ED patients. The addition of these parameters to existing triage instruments such as ESI could enhance the triage specificity in unselected patients admitted to ED. (C) 2020 Elsevier Inc. All rights reserved.
dc.identifier.doi10.1016/j.ajem.2020.06.084
dc.identifier.endpage2059
dc.identifier.issn0735-6757
dc.identifier.issn1532-8171
dc.identifier.issue10
dc.identifier.pmid33142174
dc.identifier.scopus2-s2.0-85095407296
dc.identifier.scopusqualityQ1
dc.identifier.startpage2055
dc.identifier.urihttps://doi.org/10.1016/j.ajem.2020.06.084
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22744
dc.identifier.volume38
dc.identifier.wosWOS:000595082300014
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherW B Saunders Co-Elsevier Inc
dc.relation.ispartofAmerican Journal of Emergency Medicine
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectEmergency severity index
dc.subjectPeripheral perfusion index
dc.subjectShock index
dc.subjectHospital outcome
dc.subjectMortality
dc.titlePrognostic performance of peripheral perfusion index and shock index combined with ESI to predict hospital outcome
dc.typeArticle

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