Lokesh, R (2023) Shock Index as a Predictor of Outcome in Patients with Sepsis in Chengalpattu Medical College Hospital. Masters thesis, Chengalpattu Medical College, Chengalpattu.
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Abstract
BACKGROUND: The importance of early recognition of sepsis with initiation of treatment and its effects on survival outcome have long been recognized. Due to this non- availability of easy diagnostic scores and criteria, multiple attempts are being made to develop scores which can identify sepsis early. AIM OF THE STUDY: To assess whether in patients with suspected sepsis at Chengalpattu Medical College Hospital, shock index is a good predictor of clinical outcome. MATERIALS AND METHODS: After getting approval of Institutional Ethical committee, 100 patients with suspected infection above 18 years of age, who are admitted in the Intensive medical Care Units (IMCU) of Govt. Chengalpattu Medical College are selected for this study. The disease spectrum and the outcomes are studied. Shock index at initial presentation to the emergency medicine department (ED) was compared to the traditional mortality predictors like SOFA score and the newly designed q SOFA score. RESULTS: Among the 100 patients, 78 (78%) had a suspected sepsis Initial shock index was less than 0r = 1 in 28 (28%) patients and 72 (72%) had shock index values greater than 1.0 at presentation. CONCLUSION: Shock index performed as a good indicator of in-hospital mortality, and its performance was comparable to other established indices like q SOFA scores, SOFA score. Shock index greater than or equal to 1.0 at initial assessment is associated with greater rates of ICU admission, inotropic requirement and ventilator support. Usefulness of shock index as a mortality predictor was comparable over all the etiologies of sepsis.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.200120103008 |
| Uncontrolled Keywords: | Shock Index, Predictor, Outcome, Patients, Sepsis, Chengalpattu Medical College Hospital. |
| Subjects: | MEDICAL > General Medicine > MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 12 May 2021 16:34 |
| Last Modified: | 24 Mar 2024 08:31 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/16569 |
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