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Study Title and Description

Prehospital shock index and pulse pressure/heart rate ratio to predict massive transfusion after severe trauma: Retrospective analysis of a large regional trauma database.



Key Questions Addressed
1 Key Question 1: For patients with known or suspected trauma who are treated out-of-hospital by EMS personnel, what is the predictive utility of measures of circulatory compromise or derivative measures (e.g., the shock index) for predicting serious injury requiring transport to the highest level trauma center available? 1a: How does the predictive utility of the studied measures of circulatory compromise vary across age groups (e.g., children or the elderly)? Specifically, what values for the different age ranges are supported by the evidence?
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Primary Publication Information
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TitleData
Title Prehospital shock index and pulse pressure/heart rate ratio to predict massive transfusion after severe trauma: Retrospective analysis of a large regional trauma database.
Author Pottecher J., Ageron FX., Fauché C., Chemla D., Noll E., Duranteau J., Chapiteau L., Payen JF., Bouzat P.
Country From the Hôpitaux Universitaires de Strasbourg, Pôle d'Anesthésie-Réanimation SAMU-SMUR, Hôpital de Hautepierre, Service d'Anesthésie-Réanimation Chirurgicale; and Université de Strasbourg, Fédération de Médecine Translationnelle de Strasbourg (FMTS), EA 3072, Institut de Physiologie, Faculté de Médecine, Strasbourg, France (J.P., E.N.); Centre Hospitalier Annecy Genevois, Pôle Urgences-SAMU, Pôle Santé Publique-Réseau Nord Alpin des Urgences, Annecy, France (F.-X.A.); Centre Hospitalier Universitaire de Grenoble, Hôpital Michallon, Pôle d'Anesthésie Réanimation, Grenoble, France (C.F., J.-F.P., P.B.); AP-HP, Hôpitaux Universitaires Paris-Sud, Hôpital de Bicêtre, Département de Physiologie-Université Paris Sud, INSERM U999, Le Kremlin-Bicêtre, France (D.C.); AP-HP, Hôpitaux Universitaires Paris-Sud, Université Paris-Sud, Hôpital de Bicêtre, Service d'Anesthésie-Réanimation, Le Kremlin-Bicêtre; and Laboratoire d'Etude de la Microcirculation, "Bio-CANVAS: Biomarqueurs in CardiaNeuroVascular Diseases" UMRS 942, Paris, France (J.D.); Centre Hospitalier Albertville Moutiers, Service des Urgences-SMUR, Albertville, France (L.C.); Université Grenoble Alpes, Grenoble Institut des Neurosciences, and INSERM U836, Chemin Fortuné Ferrini, Grenoble F-38042, France (J.-F.P, P.B.).
Year 2016
Numbers Pubmed ID: 27648770

Secondary Publication Information
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