From: Use of the reverse shock index for identifying high-risk patients in a five-level triage system
Variables | RSI < 1 | RSI ≧ 1 | Odds ratio | p |
---|---|---|---|---|
N = 348 | N = 10466 | (95 % CI) | ||
Head trauma, n (%) | ||||
Cranial fracture | 37 (10.6) | 623 (6.0) | 1.9 (1.32–2.67) | <0.001 |
Epidural hematoma (EDH) | 22 (6.3) | 401 (3.8) | 1.7 (1.09–2.64) | 0.018 |
Subdural hematoma (SDH) | 38 (10.9) | 770 (7.4) | 1.5 (1.09–2.18) | 0.013 |
Subarachnoid hemorrhage (SAH) | 51 (14.7) | 869 (8.3) | 1.9 (1.40–2.57) | <0.001 |
Intracerebral hematoma (ICH) | 14 (4.0) | 169 (1.6) | 2.6 (1.47–4.45) | 0.001 |
Cervical vertebral fracture | 11 (3.2) | 91 (0.9) | 3.7 (1.97–7.02) | <0.001 |
Maxillofacial trauma, n (%) | ||||
Orbital fracture | 3 (0.9) | 226 (2.2) | 0.4 (0.13–1.24) | 0.098 |
Nasal fracture | 6 (1.7) | 120 (1.1) | 1.5 (0.66–3.46) | 0.323 |
Maxillary fracture | 31 (8.9) | 680 (6.5) | 1.4 (0.97–2.05) | 0.074 |
Mandibular fracture | 14 (4.0) | 265 (2.5) | 1.6 (0.93–2.79) | 0.084 |
Thoracic trauma, n (%) | ||||
Rib fracture | 56 (16.1) | 833 (8.0) | 2.2 (1.65–2.98) | <0.001 |
Sternal fracture | 3 (0.9) | 14 (0.1) | 6.5 (1.86–22.69) | 0.001 |
Hemothorax | 20 (5.7) | 150 (1.4) | 4.2 (2.60–6.77) | <0.001 |
Pneumothorax | 16 (4.6) | 163 (1.6) | 3.0 (1.80–5.15) | <0.001 |
Hemopneumothorax | 30 (8.6) | 125 (1.2) | 7.8 (5.16–11.81) | <0.001 |
Lung contusion | 15 (4.3) | 111 (1.1) | 4.2 (2.42–7.28) | <0.001 |
Thoracic vertebral fracture | 14 (4.0) | 93 (0.9) | 4.7 (2.64–8.29) | <0.001 |
Abdominal trauma, n (%) | ||||
Intra-abdominal injury | 18 (5.2) | 126 (1.2) | 4.5 (2.70–7.42) | <0.001 |
Hepatic injury | 42 (12.1) | 182 (1.7) | 7.8 (5.44–11.05) | <0.001 |
Splenic injury | 26 (7.5) | 87 (0.8) | 9.6 (6.13–15.14) | <0.001 |
Retroperitoneal injury | 10 (2.9) | 12 (0.1) | 25.8 (11.06–60.07) | <0.001 |
Renal injury | 12 (3.4) | 45 (0.4) | 8.3 (4.34–15.78) | <0.001 |
Urinary bladder injury | 3 (0.9) | 17 (0.2) | 5.3 (1.56–18.32) | 0.003 |
Lumbar vertebral fracture | 14 (4.0) | 179 (1.7) | 2.4 (1.38–4.20) | 0.001 |
Sacral vertebral fracture | 7 (2.0) | 62 (0.6) | 3.4 (1.57–7.58) | 0.001 |
Extremity trauma, n (%) | ||||
Scapular fracture | 13 (3.7) | 160 (1.5) | 2.5 (1.41–4.45) | 0.001 |
Humeral fracture | 15 (4.3) | 468 (4.5) | 1.0 (0.57–1.63) | 0.886 |
Radial fracture | 28 (8.0) | 1069 (10.2) | 0.8 (0.52–1.14) | 0.188 |
Ulnar fracture | 28 (8.0) | 514 (4.9) | 1.7 (1.14–2.52) | 0.008 |
Pelvic fracture | 44 (12.6) | 269 (2.6) | 5.5 (3.91–7.70) | <0.001 |
Femoral fracture | 57 (16.4) | 842 (8.0) | 2.2 (1.67–3.00) | <0.001 |
Tibial fracture | 37 (10.6) | 768 (7.3) | 1.5 (1.06–2.13) | 0.021 |
Fibular fracture | 26 (7.5) | 425 (4.1) | 1.9 (1.26–2.88) | 0.002 |