Shock index and modified shock index as predictors of outcomes in trauma patients following traffic collisions
Shock index (SI) and modified shock index (MSI) are valuable tools for predicting mortality and blood transfusion needs in trauma patients involved in traffic collisions. An SI threshold of 1.11 indicates increased mortality risk, while an SI of 0.84 predicts the need for blood transfusion. Both SI and MSI show high predictive power for mortality and blood transfusion, with acceptable accuracy for other outcomes. These indices provide valuable insights into clinical decision-making processes and patient care improvement.
Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.
Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).
Appendix, Gallbladder and Surgical Emergencies3 Nov 2026
