- •We evaluate the Pediatric age-adjusted shock index (SIPA) for the first time in Australia
- •The First SIPA study to include pediatric trauma patients of all severity and ages shows that it loses correlation in the generalised population
- •SIPA in combination with GCS (SIPAms) on arrival predicts morbidity outcomes more strongly than pre-arrival, but both predict more outcomes than SIPA without GCS.
- •SIPAms increases sensitivity significantly for predictors of morbidity with a mild loss of specificity. aSIPAms has a sensitivity of 76% and specificity of 70% for major trauma.
Abbreviations:aSIPA (Shock Index, Pediatric age-adjusted, calculated on arrival), aSIPAms (Shock Index, Pediatric age-adjusted, with mental state, calculated on arrival), GCS (Glasgow Coma Scale), GCS-M (Motor component of Glasgow Coma Scale), HR (Heart Rate), ICU (Intensive Care Unit), ISS (Injury Severity Score), LOS (Length of Stay), pSIPA (Shock Index, Pediatric age-adjusted, calculated pre-arrival), pSIPAms (Shock Index, Pediatric age-adjusted, with mental state, calculated pre-arrival), SBP (Systolic Blood Pressure), SI (Shock Index), SIPA (Shock Index, Pediatric age-adjusted), SIPAms (Shock Index, Pediatric age-adjusted, with mental state)
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- Correlation of shock index and modified shock index with the outcome of adult trauma patients: a prospective study of 9860 patients.North American J Med Sci. 2014; 6: 450-452
- Shock index as a mortality predictor in patients with acute polytrauma.J Acute Dis. 2015; 4: 202-204
- Pediatric specific shock index accurately identifies severely injured children.J Pediatr Surg. 2015; 50: 331-334
- Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: An ATOMAC+ study.J Pediatr Surg. 2017; 52: 340-344
- Shock index, pediatric age-adjusted (SIPA) is more accurate than age-adjusted hypotension for trauma team activation.Surgery. 2017; 161: 803-807
- A pediatric specific shock index in combination with GMS identifies children with life threatening or severe traumatic brain injury.Pediatr Surg Int. 2015; 31: 1041-1046
- Validation of the age-adjusted shock index using pediatric trauma quality improvement program data.J Pediatr Surg. 2018; 53: 130-135
- Trends in pediatric adjusted shock index predict morbidity and mortality in children with severe blunt injuries.J Pediatr Surg. 2018; 53: 362-366
- Age-adjusted shock index: From injury to arrival.J Pediatr Surg. 2019; 54: 984-988
- Penetrating trauma in children.Semin Pediatr Surg. 2004; 13: 87-97
- A review of children with severe trauma admitted to pediatric intensive care in Queensland.Australia. PloS one. 2019; 14 (-e)e0211530
- Australia's children.CWS 69 ed. AIHW, Canberra2020
- Comparison of prehospital calculated age-adjusted pediatric shock index (SIPA) to those calculated in the ED for identifying trauma patients that needed the highest-level activation based on consensus criteria.Prehospital Emerg Care. 2020; (ahead-of-print(ahead-of-print)): 1
- Predictive value of the shock index (SI) compared to the age-adjusted pediatric shock index (SIPA) for identifying children that needed the highest-level trauma activation based on the presence of consensus criteria.J Pediatr Surg. 2019;
- A systematic review of hospital trauma team activation criteria for children.Pediatr Emerg Care. 2019; 35: 8-15
- The definition of major trauma using different revisions of the abbreviated injury scale.Scandinavian J Trauma, Resusc Emerg Med. 2021; 29: 71
- Trends in pediatric-adjusted shock index predict morbidity in children with moderate blunt injuries.Pediatr Surg Int. 2019; 35: 785-791
- Nonoperative management of blunt liver and spleen injury in children: evaluation of the ATOMAC guideline using GRADE.J Trauma Acute Care Surg. 2015; 79: 683-693
- Blunt trauma in paediatric patients - experience from a small centre.West Indian Med J. 2015; 64: 126-130
- Diagnostic accuracy of a single point-of-care prehospital serum lactate for predicting outcomes in pediatric trauma patients.Pediatr Emerg Care. 2013; 29: 715-719
- Comparison of predictive powers for mortality between systemic vascular resistance index and serum lactate in children with persistent catecholamine-resistant shock.Biomed Res Int. 2020; 2020: 1-10
- The shock index, pediatric age-adjusted (SIPA) enhanced: Prehospital and emergency department SIPA values forecast transfusion needs for blunt solid organ injured children.Surgery. 2020; 168: 690-694
- Comparison of the pediatric resuscitation and trauma outcome (PRESTO) model and pediatric trauma scoring systems in a middle-income country.World J Surg. 2020; 44: 2518-2525