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Prognostic Performance of Shock Index, Diastolic Shock Index, Age Shock Index, and Modified Shock Index in COVID-19 Pneumonia

Published online by Cambridge University Press:  02 May 2022

Mustafa Avci  and
Fatih Doganay
Mustafa Avci*
Affiliation:
Department of Emergency Medicine, Antalya Training and Research Hospital; University of Health Sciences, Antalya/Turkey
Fatih Doganay
Affiliation:
Department of Emergency Medicine, Bakirkoy Doctor Sadi Konuk Training and Research Hospital; University of Health Sciences, Istanbul, Turkey
*
Corresponding author: Mustafa Avci, Email: dravcimustafa@gmail.com.
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Abstract

Objective:

We aimed to compare the prognostic accuracy of shock indexes in terms of mortality in patients hospitalized with coronavirus disease 2019 (COVID-19) pneumonia.

Methods:

Hospitalized patients whose COVID-19 reverse transcriptase-polymerase chain reaction (RT-PCR) test results were positive, had thoracic computed tomography (CT) scan performed, and had typical thoracic CT findings for COVID-19 were included in the study.

Results:

Eight hundred one patients were included in the study. Chronic obstructive pulmonary disease, congestive heart failure, chronic neurological diseases, chronic renal failure, and a history of malignancy were found to be chronic diseases that were significantly associated with mortality in patients with COVID-19 pneumonia. White blood cell, neutrophil, lymphocyte, C reactive protein, creatinine, sodium, aspartate aminotransferase, alanine aminotransferase, total bilirubin, high sensitive troponin, d-dimer, hemoglobin, and platelet had a statistically significant relationship with in-hospital mortality in patients with COVID-19 pneumonia. The area under the curve (AUC) values of shock index (SI), age shock index (aSI), diastolic shock index (dSI), and modified shock index (mSI) calculated to predict mortality were 0.772, 0.745, 0.737, 0.755, and Youden Index J (YJI) values were 0.523, 0.396, 0.436, 0.452, respectively.

Conclusions:

The results of this study show that SI, dSI, mSI, and aSI are effective in predicting in-hospital mortality.

Keywords

age shock indexCOVID-19diastolic shock indexmodified shock indexshock index
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e189
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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