000			03363nam a22003137a 4500
001			CUHAS/MMED/6000336/T/19
003			CUHAS/MMED/6000336/T/19
005			20240424214929.0
008			231120b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O. Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_b Fax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz:
028			_b www.bugando.ac.tz
035			_aCUHAS/MMED/6000336/T/19
040			_bEnglish _cDDC
041			_aEnglish
100			_aSuleiman Omar Rashid _d[Male] _eCUHAS/MMED/6000336/T/19
245			_aModified Shock Index as a Predictor of Early Outcomes among Adult Trauma Patients Admitted at Bugando Medical Centre, Mwanza, Tanzania
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] : _c2023
300			_a88 Pages
300			_aIncludes References and Appendicies
520			_aAbstract: Introduction: Modified shock index has been reported to be a useful in predicting early outcomes of trauma patients. The aims of this study was to determine the usefulness of modified shock index in predicting early outcomes among patient with trauma at Bugando Medical Centre. Methodology: The prospective cross sectional study of all adult trauma patients (aged ≥ 18 years) with Kampala Trauma Score II of moderate to severe from January to May 2023 was conducted. The study was conducted at emergency department, intensive care unit and all surgical wards of Bugando Medical Centre. The modified shock index was calculated on arrival by dividing heart rate by the mean arterial pressure and its association to within 24 hours intensive care unit admission, blood transfusion, emergency surgical intervention, and mortality was determined. Collected data was analysed using STATA version 15.0. Predictors were run in multivariate regression model to ascertain statistical relationship. Results: We enrolled 188 participants, majority were males 166(87.8%) and median age was 33.5 [IQR 25-41] years. Road traffic accident was the most common cause of injury accounting for 145(77.1%) participants. Head and neck was the most common body region affected followed by extremities in 123(65.4%) and 89(47.3%) respectively. Within 24 hours of admission, blood was transfused in 105(55.8%), emergency surgical intervention was 115(61.2%), intensive care unit admissions was 44(23.4%) patients, and 18(9.6%) patients died. High Modified Shock Index (MSI> 0.9) was found to be predictor of blood transfusion (OR=3.44; 95% [1.24-9.81], p-value =0.021), intensive care unit admission (OR=4.21, 95%CI [2.07-8.57], p-value <0.001] and mortality (OR = 2.82, 95%CI [2.36-9.92], p-value = 0.011) but not need for emergency surgical intervention (OR=1.66[0.88-3.13]; p-value = 0.115) within 24 hrs of admission. Conclusion: High modified shock index was a predictor for blood transfusion, intensive care unit admission and mortality among trauma patients. We recommended that modified shock index (MSI) should be recorded in the patient chart upon initial assessment of trauma patients.
600			_xSurgery
700			_aVihar Kotecha
700			_aAlly Akrabi _9291967
942			_2ddc _cMP _n1
999			_c18782 _d18782