Reader Comment Regarding Delta shock index in the emergency department as a predictor of clinical outcomes in traumatic injury

[...]while the authors suggest that dSI may offer a more precise tool for field triage, the study does not compare the predictive accuracy of dSI with other established triage tools, such as the Revised Trauma Score or the Trauma [ 2] and Injury Severity Score [ 3]. [...]the study acknowledges that...

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Bibliographic Details
Published inThe American journal of emergency medicine Vol. 92; pp. 187 - 188
Main Authors Hsu, Jen-Yu, Komine, Kazuhiro, Jaw, Fu-Shan, Hsieh, Chien-Chieh
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2025
Elsevier Limited
Subjects
Clinical outcomes
Confounding (Statistics)
Emergency
Emergency medical care
Emergency medical services
Health risks
Mortality
Mortality risk
Physiology
Trauma
Online AccessGet full text
ISSN0735-6757
1532-8171
1532-8171
DOI10.1016/j.ajem.2025.03.055

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Summary:[...]while the authors suggest that dSI may offer a more precise tool for field triage, the study does not compare the predictive accuracy of dSI with other established triage tools, such as the Revised Trauma Score or the Trauma [ 2] and Injury Severity Score [ 3]. [...]the study acknowledges that both positive and negative dSI values are associated with higher mortality risk but does not explore the underlying mechanisms for this observation. [...]the study by Chen et al. is a commendable contribution to emergency medicine.
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ISSN:0735-6757
1532-8171
1532-8171
DOI:10.1016/j.ajem.2025.03.055