SHOCK INDEX AS A PREDICTOR OF SEVERITY IN HEMORRHAGIC SHOCK: A CRITICAL REVIEW
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Abstract
This study aims to critically review the existing literature on the use of the Shock Index (SI) as a predictor of severity in hemorrhagic shock patients, assessing its effectiveness and limitations compared to other clinical indicators. An Integrative Literature Review was conducted, following Joanna Briggs Institute (JBI) guidelines. The research was performed in electronic databases, including PubMed, SciELO, and LILACS, using terms like "Shock Index" and "Hemorrhagic Shock." Studies published between 2019 and 2024 that analyzed the SI in trauma and surgery contexts were included. The quality of the studies was evaluated by two independent reviewers, with disagreements resolved by consensus. The results demonstrated that the SI is widely effective in screening patients at risk of severe complications, such as the need for transfusions and ICU admission. However, the SI shows limitations in specific subgroups, such as pediatric and obstetric patients, where index adjustments proved more accurate. The analysis also highlighted the usefulness of the SI in combination with other diagnostic tools. The Shock Index is a valuable tool in clinical practice, particularly in emergencies. However, adjustments, such as age-adjusted SI, are necessary to improve its effectiveness in different populations. Future research should explore these adaptations and the use of new technologies.
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Copyright (c). Conjuncture Bulletin (BOCA)
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
AIHARA, T. et al. “Hemorrhagic shock and encephalopathy syndrome: A call for new clinical criteria for early intervention”. Journal of the Neurological Sciences, vol. 465, 2024.
ANDRADE, D. M. et al. “Uso do software NVivo como ferramenta auxiliar da organização de informações na Análise Textual Discursiva”. Revista Pesquisa Qualitativa, vol. 8, n. 19, 2020.
AQUINO, L. S. et al. “Síndrome de Burnout: repercussões na saúde do profissional de Enfermagem”. Boletim de Conjuntura (BOCA), vol. 6, n. 16, 2021.
ARAÚJO, C. L. F. P. et al. “Atuação da gestão institucional na prevenção das infecções primárias da corrente sanguínea”. Ciência y Enfermería, vol. 27, n. 15, 2021.
AZAR, J. M. et al. “Late-onset vitamin K deficiency presenting as haemorrhagic shock and severe multi-system organ failure”. BMJ Case Reports CP, vol. 17, n. 8, 2024.
BARDIN, L. Organização da análise: análise de conteúdo. São Paulo: Editora Edições, 2016.
BARRY, M. et al. “Regulation of vascular endothelial integrity by mesenchymal stem cell extracellular vesicles after hemorrhagic shock and trauma”. Journal of Translational Medicine, vol. 22, n. 1, 2024.
CHAN, K. S.; TAN, K. Y.; GOO, J. T. T. “Shock index: Easy to use, but can it predict outcomes following major abdominal emergency surgery?”. Annals of the Academy of Medicine, vol. 52, n. 9, 2023.
CURCIO, L. et al. “A simple cardiovascular model for the study of hemorrhagic shock”. Computational and Mathematical Methods in Medicine, vol. 2020, n. 1, 2020.
CURCIO, L.; D′ORSI, L.; GAETANO, A. “Seven mathematical models of hemorrhagic shock”. Computational and Mathematical Methods in Medicine, vol. 2021, n. 1, 2021.
DANTAS, H. L. L. et al. “Como elaborar uma revisão integrativa: sistematização do método científico”. Revista Científica de Enfermagem, vol. 12, n. 37, 2022.
FECHER, A. et al. “The pathophysiology and management of hemorrhagic shock in the polytrauma patient”. Journal of Clinical Medicine, vol. 10, n. 20, 2021.
FUNABIKI, S. et al. “Delta Shock Index and higher incidence of emergency surgery in older adults with blunt trauma”. European Journal of Trauma and Emergency Surgery, Vol.50, n. 2 p. 2024.
FUTIER, E. et al. “Effect of individualized vs standard blood pressure management strategies on postoperative organ dysfunction among high-risk patients undergoing major surgery: a randomized clinical trial”. Jama, vol. 318, n. 14, 2017.
GOVENDER, K. et al. “Negative pressure increases microvascular perfusion during severe hemorrhagic shock”. Microvascular Research, vol. 134, 2021.
HAMADA, S. R. et al. “Effect of fibrinogen concentrate administration on early mortality in traumatic hemorrhagic shock: a propensity score analysis”. Journal of Trauma and Acute Care Surgery, vol. 88, n. 5, 2020.
HIETANEN, C. “Calculated decisions: Shock index, pediatric age-adjusted (SIPA)”. Pediatric Emergency Medicine Practice, vol. 17, n. 1, 2020.
ÍNAL, V.; EFE, S.; ADEMOGLU, Z. “Predictive ability of shock index in survival of ICU admitted emergency surgery patients: A retrospective cohort study”. Turkish Journal of Trauma and Emergency Surgery, vol. 28, n. 3, 2022.
IZZETOGLU, K. et al. “Noninvasive Monitoring of Changes in Cerebral Hemodynamics During Prolonged Field Care for Hemorrhagic Shock and Hypoxia-Induced Injuries With Portable Diffuse Optical Sensors”. Military Medicine, vol. 189, n. 3, 2024.
JAMES, A. et al. “The conundrum of the definition of haemorrhagic shock: a pragmatic exploration based on a scoping review, experts’ survey and a cohort analysis”. European Journal of Trauma and Emergency Surgery, vol. 48, n. 6, 2022.
JBI - The Joanna Briggs Institute. “Supporting Document for the Joanna Briggs Institute Levels of Evidence and Grades of Recommendation”. JBI [2014]. Disponível em . Acesso em: 12/12/2024.
LOH, C. J. L. et al. “Preoperative shock index in major abdominal emergency surgery”. Annals of the Academy of Medicine, vol. 52, n. 9, 2024.
MANESCHI, F. et al. “Shock parameters and shock index during severe post-partum haemorrhage and implications for management: a clinical study”. Journal of Obstetrics and Gynaecology, vol. 40, n. 1, 2020.
MARENCO, C. W. et al. “Shock index as a predictor of massive transfusion and emergency surgery on the modern battlefield”. Journal of Surgical Research, vol. 256, 2020.
MEDEIROS, A. C.; ARAÚJO-FILHO, I. “Choque hemorrágico em cirurgia”. Journal of Surgical and Clinical Research, vol. 8, n. 2, 2017.
ONALAN, A. “Butterfly effect on shock index”. Clinical Neurology and Neurosurgery, vol. 241, 2024.
OYENIYI, B. et al. “Trends in 1029 trauma deaths at a level 1 trauma center: impact of a bleeding control bundle of care”. Injury, vol. 48, n. 1, 2017.
PAGE, M. J. et al. “A declaração PRISMA 2020: diretriz atualizada para relatar revisões sistemáticas”. Revista Panamericana de Salud Pública, vol. 46, n. 112, 2023.
RAO, T. et al. “Bergapten attenuates hemorrhagic shock induced multi-organ injury by inhibiting NLRP3 inflammasome activation and pyroptosis”. International Immunopharmacology, vol. 140, 2024.
SENHORAS, E. M. BNDES e a era de ouro da internacionalização empresarial brasileira (1999-2009). Boa Vista: Editora da UFRR, 2019.
SHEN, C. et al. “Swine hemorrhagic shock model and pathophysiological changes in a desert dry-heat environment”. Plos One, vol. 16, n. 1, 2021.
URSI, E. S.; GAVÃO, C. M. “Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura”. Revista Latino-Americana de Enfermagem, vol. 14, n. 1, 2006.
USHIDA, T. et al. “Shock index and postpartum hemorrhage in vaginal deliveries: a multicenter retrospective study”. Shock, vol. 55, n. 3, 2021.
WANG, I. et al. “Pre-hospital modified shock index for prediction of massive transfusion and mortality in trauma patients”. The American Journal of Emergency Medicine, vol. 38, n. 2, 2020.
WONG, H. et al. “A Delphi study to establish consensus on a definition of major bleeding in adult trauma”. Transfusion, vol. 60, n. 12, 2020.