Phillips et al evaluated pediatric patients with blunt trauma and correlated the SIPA (shock index, pediatric-adjusted) score with mortality. The authors are from Children's Hospital Colorado, University of Colorado and Denver Health Medical Center.
Patient selection: pediatric blunt trauma
shock index =
= (heart rate) / (systolic blood pressure)
With SIPA the shock index is compared against age-adjusted cut-offs.
Age
Prehospital SIPA Cutoff for Mortality
1 to 6 years
>= 1.92
7 to 12 years
>= 1.14
>= 13 years
>= 1.57
Age
Emergency Dept SIPA Cutoff for Mortality
1 to 6 years
>= 1.6
7 to 12 years
>= 1.20
>= 13 years
>= 1.94
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