Shock and modified shock index in the immediate puerperium

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Published: Mar 11, 2022
DOI: https://doi.org/10.21676/2389783X.4487
Keywords:
Shock, Puerperium, Hemorrhage, Obstetric hemorrhage
Shock and modified shock index in the immediate puerperium

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Édgar Rivas-Perdomo
Universidad del Magdalena
https://orcid.org/0000-0001-8877-3873
Agustín Puello Mestre
Clínica La Ermita de Cartagena
https://orcid.org/0000-0001-6815-0089

Abstract

The parameters that define shock (tachycardia, hypotension and poor perfusion of the end organ) are not fully applicable to the obstetric patient due to the physiological changes that make it difficult to establish cut-off to trigger clinical interventions; but a relationship of them can generate a more accurate indicator of hypovolemia called the shock index (SI) and modified shock index (ISM). A cross-sectional study was carried out aimed to establish the median of the shock index and Modified Shock Index, standard deviation and the CI [95%] at 30 minutes, at one hour and two hours. The values at the different moments were compared with an ANOVA test and according to the route of delivery using Wilcoxon Ranges. Spearman's correlation coefficients were calculated between the modified shock index and age of the patients and gestational age. The medians of the Shock Index and Modified Shock Index were 0.669 SD: 0.014 CI [95%]: 0.664 - 0.692 and 0.922 SD: 0.019 CI [95%]: 0.914 - 0949 respectively. There is no correlation of these values with the ages of the patients or gestational age.

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How to Cite
Rivas-Perdomo, Édgar ., & Puello Mestre, A. . (2022). Shock and modified shock index in the immediate puerperium. Duazary, 19(1), 28–37. https://doi.org/10.21676/2389783X.4487
Issue
Vol. 19 No. 1 (2022): (January - March)
Section
Articles of scientific and technological research
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