{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T19:50:03Z","timestamp":1776887403505,"version":"3.51.2"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T00:00:00Z","timestamp":1421107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2016,3]]},"abstract":"ABSTRACT<\/jats:title>Objectives<\/jats:title>This research was conducted with the aim of investigating the accuracy of the shock index (SI<\/jats:styled-content>) in distinguishing which multiple\u2010trauma patients should be admitted to an intensive care unit (ICU) after treatment in an emergency room (ER).<\/jats:p><\/jats:sec>Background<\/jats:title>The SI<\/jats:styled-content> is an easily obtained indicator, as it corresponds to an arithmetic ratio between the two parameters that are always measured during the first\u2010aid treatment of multiple\u2010trauma patients: heart rate (HR) and systolic blood pressure (SBP). There are many studies examining the SI<\/jats:styled-content> in the multiple\u2010trauma patients as a possible predictor of the destination unit. The SI<\/jats:styled-content> is evaluated both at the trauma scene (pre\u2010hospital SI\u2010pH<\/jats:styled-content>) and in the emergency room (SI\u2010ER<\/jats:styled-content>).<\/jats:p><\/jats:sec>Design and methods<\/jats:title>An observational study with a retrospective approach was conducted on 158 adult patients with multiple trauma.<\/jats:p><\/jats:sec>Results<\/jats:title>The mean SI\u2010pH<\/jats:styled-content> and SI\u2010ER<\/jats:styled-content> values were higher in ICU<\/jats:styled-content> patients than in\u2010patients discharged or admitted to a normal ward, but the difference between these two patient groups was significant only for the SI\u2010ER<\/jats:styled-content>. Analysis of the receiver operating characteristic (ROC<\/jats:styled-content>) curves confirmed that only the SI\u2010ER<\/jats:styled-content> is significant as a reliable indicator for ICU<\/jats:styled-content> admission with a best cut\u2010off of 1\u00b705. However, a threshold value of 0\u00b775 was still able to establish the correct type of destination for multiple\u2010trauma patients, with a sensitivity of 57\u00b73% and a specificity of 62\u00b75%.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>This research showed that the SI\u2010pH<\/jats:styled-content> and SI\u2010ER<\/jats:styled-content> values are correlated, but only the SI\u2010ER<\/jats:styled-content> has shown statistical significance in terms of distinguishing the type of destination of multiple\u2010trauma patient (ICU<\/jats:styled-content>, ordinary ward or discharge) after initial treatment in the ER.<\/jats:p><\/jats:sec>Relevance to clinical practice<\/jats:title>The results of this study suggest the possibility of using SI<\/jats:styled-content> in multiple\u2010trauma patients as a triage indicator to assess the patients' care complexity and to guide the choice of proper clinical paths.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nicc.12152","type":"journal-article","created":{"date-parts":[[2015,1,13]],"date-time":"2015-01-13T20:24:42Z","timestamp":1421180682000},"source":"Crossref","is-referenced-by-count":11,"title":["The role of shock index as a predictor of multiple\u2010trauma patients' pathways"],"prefix":"10.1111","volume":"21","author":[{"given":"Andrea","family":"Toccaceli","sequence":"first","affiliation":[{"name":"Department of Health, Life and Environmental Sciences University of L'Aquila L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Giampaoletti","sequence":"additional","affiliation":[{"name":"Nursing Critical Care Faculty of Medicine and Surgery of Ancona Ancona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucia","family":"Dignani","sequence":"additional","affiliation":[{"name":"Department of Health, Life and Environmental Sciences University of L'Aquila L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Lucertini","sequence":"additional","affiliation":[{"name":"Department of Health, Life and Environmental Sciences University of L'Aquila L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristina","family":"Petrucci","sequence":"additional","affiliation":[{"name":"Department of Health, Life and Environmental Sciences University of L'Aquila L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loreto","family":"Lancia","sequence":"additional","affiliation":[{"name":"Department of Health, Life and Environmental Sciences University of L'Aquila L'Aquila Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,13]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","article-title":"Shockindex","volume":"46","author":"Allg\u00f6wer M","year":"1967","journal-title":"Deutsche Medizinische Wodenschrift"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2012.8.11546"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2005.02.029"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-18-8"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-0330"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA-0b013e31829246c7"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2013-202444"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181bbf728"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12019"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2013.05.027"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.01.011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.779"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-5153.2012.00498.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1996.tb03351.x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-198510000-00009"},{"key":"e_1_2_9_17_1","first-page":"3","article-title":"Aspects and relevant relationship in the nursing workload conceptualization: literature review","volume":"64","author":"Lancia L","year":"2011","journal-title":"Professioni Infermieristiche"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03510200084037"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa052049"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.07.010"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.05.007"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc12851"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181961c35"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.12.009"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2011.10.022"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70279-9"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2009.289"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.10.038"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/scientificamerican0883-28"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182095a0a"},{"key":"e_1_2_9_31_1","unstructured":"World Health Organization. (2013).Global Status Report on Road Safety 2013[online]. Available at:www.who.int\/violence_injury_prevention\/road_safety_status\/2013\/en\/(accessed 15\/2\/13)."},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(1950)3:1<32::AID-CNCR2820030106>3.0.CO;2-3"},{"key":"e_1_2_9_33_1","first-page":"406","article-title":"Value of shock index in prognosticating the short term outcome of death for patients presenting with severe sepsis and septic shock in the emergency department","volume":"67","author":"Yussof SJ","year":"2012","journal-title":"The Medical Journal of Malaysia"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2008.03.025"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fnicc.12152","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.12152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:19:03Z","timestamp":1696281543000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.12152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,13]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1111\/nicc.12152"],"URL":"https:\/\/doi.org\/10.1111\/nicc.12152","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,13]]}}}