| Home | E-Submission | Sitemap | Contact Us |  
top_img
J Korean Soc Emerg Med > Volume 35(3); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(3): 223-230.
Using the pre-hospital shock index multiplied by the AVPU scale as a predictor of massive transfusion and coagulopathy in patients with trauma
Young Hun Choi1,2 , Seok-Ran Yeom1,2 , Sung-Wook Park1,2 , Wook Tae Yang1,2 , Il Jae Wang1,2 , Won Ung Tae1,2 , Suck Ju Cho1,2 , Dae Sup Lee1,3 , Mun Ki Min1,3 , Up Huh2,4 , Chanhee Song5 , Yeaeun Kim6 , Youngmo Cho1,2
1Department of Emergency Medicine, Pusan National University School of Medicine, Busan, Korea
2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
3Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, Korea
4Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Busan, Korea
5Medical Research Institute, Pusan National University, Busan, Korea
6Department of Health Care Management, Catholic University of Pusan, Busan, Korea
Correspondence  Youngmo Cho ,Tel: 051-240-8769, Fax: 051-240-7719, Email: specialkey7@naver.com,
Received: November 1, 2023; Revised: November 5, 2023   Accepted: November 6, 2023.  Published online: June 30, 2024.
ABSTRACT
Objective:
This study evaluated the accuracy of the pre-hospital shock index multiplied by the AVPU scale (PSIAVPU) as a predictor of massive transfusion (MT) and traumatic coagulopathy.
Method:
This research was a retrospective single-center study that included patients consecutively presenting to a trauma center between 2017 and 2020. The predictive value of the PSIAVPU for MT, in-hospital mortality, and traumatic coagulopathy was measured using the area under the curve (AUC) of the receiver operating characteristic curve. The AUC of the PSIAVPU was compared with the Reverse Shock Index multiplied by the Glasgow Coma Scale (rSIG) measured at the trauma center presentation.
Results:
One thousand seven hundred and ninety-two patients were included, of which 163 patients (9.09%) received MT and 195 patients (10.88%) died during their hospital stay. Traumatic coagulopathy was observed in 245 patients. The AUC values for the PSIAVPU in terms of predicting MT, hospital mortality, and traumatic coagulopathy were 0.755, 0.752, and 0.736, respectively.
Conclusion:
In patients with trauma, the predictive power of the PSIAVPU was higher than that of the prehospital shock index and was comparable to that of the rSIG. The PSIAVPU is a useful indicator that can be used easily and quickly for trauma patients at the prehospital stage.
Key words: Shock; Wounds and injuries; Blood transfusion; Emergency medical services
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
43
View
6
Download
Related article
Availability of erythrocyte sedimentation rate as a predictor of venom induced coagulopathy in patients with snakebite  2023 August;34(4)
Editorial Office
The Korean Society of Emergency Medicine
TEL: +82-62-226-1780   FAX: +82-62-224-3501   E-mail: dlskdud416@naver.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Society of Emergency Medicine.                 Developed in M2PI