Validating a pragmatic definition of shock in adult patients presenting to the ED
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AbstractObjective The importance of the early recognition of shock in patients presenting to emergency departments is well recognized, but at present, there is no agreed practical definition for undifferentiated shock. The main aim of this study was to validate an a priori clinical definition of shock against 28-day mortality. Design, setting and subjects This prospective, observational, cross-sectional, single-center study was conducted in Hong Kong, China. Data were collected between July 1, 2012, and January 31, 2013. An a priori definition of shock was designed, whereby patients admitted to the resuscitation room or high dependency area of the emergency department were divided into 1 of 3 groups - no shock, possible shock, and shock. The primary outcome was 28-day mortality. Secondary outcomes were in-hospital mortality or admission to the intensive or coronary care unit.
All Author(s) ListLi Y.-L., Chan C.P.-Y., Sin K.-K., Chan S.S.W., Lin P.-Y., Chen X.-H., Smith B.E., Joynt G.M., Graham C.A., Rainer T.H.
Journal nameAmerican Journal of Emergency Medicine
Year2014
Month1
Day1
Volume Number32
Issue Number11
PublisherW. B. Saunders Co., Ltd.
Place of PublicationUnited Kingdom
Pages1345 - 1350
ISSN0735-6757
eISSN1532-8171
LanguagesEnglish-United Kingdom

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