Evidence map›Paper›PMID 39881527›Full record

ArticleAnnals of medicine2025

Combination of reverse shock index and simplified motor score as a strong discriminator of trauma outcomes.

Meng-Yu Wu, Giou-Teng Yiang, Ding-Kuo Chien, Sy-Jou Chen, Chi-Ming Chu, Jui-Yuan Chung, Hon-Ping Ma, Mau-Roung Lin

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Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Meng-Yu WuGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan, ROC.ORCID 0000-0002-8773-1847
Giou-Teng YiangDepartment of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City, Taiwan, ROC.
Ding-Kuo ChienGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan, ROC.
Sy-Jou ChenDepartment of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Chi-Ming ChuSchool of Public Health, National Defense Medical Center, Taipei, Taiwan, ROC.
Jui-Yuan ChungGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan, ROC.
Hon-Ping MaGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan, ROC.
Mau-Roung LinGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan, ROC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reverse shock index multiplied by simplified motor score (rSI-sMS) is a novel and rapid measure for assessing injury severity in patients with trauma in prehospital settings; however, its discriminant ability requires further validation.

methodsA retrospective cohort study was conducted from trauma database of Taipei Tzu Chi Hospital to compare the accuracy of the rSI-sMS with that of the shock index, modified shock index, reverse shock index multiplied by the Glasgow Coma Scale (rSI-GCS), and the reverse shock index multiplied by GCS motor subscale (rSI-GCSM) for discriminating in-hospital mortality, intensive care unit (ICU) admissions, prolonged ICU stays ≥14 days, and prolonged hospital stays ≥30 days in patients with trauma.

resultsA total of 11,760 patients from the trauma database were included. rSI-sMS had significantly better accuracy in discriminating in-hospital mortality, ICU admissions, prolonged ICU stays (≥14 days), and prolonged hospital stays (≥30 days) than the shock index, modified shock index, and rSI-GCSM, whereas its accuracy was similar to that of the rSI-GCS. Furthermore, rSI-sMS had better accuracy for discriminating clinical outcomes in patients with an injury severity score (ISS) ≥16, motor vehicle collisions, falls, no chronic disease, and cardiovascular disease as well as in geriatric and nongeriatric patients. In patients with mixed and isolated brain injuries, rSI-sMS accurately discriminated the four clinical outcomes, similar to rSI-GCS. The optimal cutoff value of rSI-sMS had a discriminant ability of 85.0, 78.6, 75.2, and 81.0% for in-hospital mortality, ICU admissions, ICU stay ≥14 days, and hospital stays of ≥30 days, respectively.

conclusionsCompared with the shock index, modified shock index, and rSI-GCSM, rSI-sMS is a more accurate field triage scoring system for discriminating in-hospital mortality, ICU admissions, prolonged ICU stay, and prolonged hospital stays in patients with trauma.

Indexed as

ShockWounds and InjuriesAdultAgedFemaleGlasgow Coma ScaleHospital MortalityHumansInjury Severity ScoreIntensive Care UnitsLength of StayMaleMiddle AgedRetrospective StudiesTaiwanreverse shock index multiplied by the Glasgow Coma Scalereverse shock index multiplied by the motor subscalereverse shock index multiplied by the simplified motor scoreshock indexTraumatic injury

Identifiers

PMID39881527
PMCPMC11784069

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.