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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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
Online AccessGet full text
ISSN0735-6757
1532-8171
1532-8171
DOI10.1016/j.ajem.2025.03.055

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Abstract [...]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.
AbstractList [...]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.
Author Hsieh, Chien-Chieh
Jaw, Fu-Shan
Hsu, Jen-Yu
Komine, Kazuhiro
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  organization: Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan
BackLink https://www.ncbi.nlm.nih.gov/pubmed/40185673$$D View this record in MEDLINE/PubMed
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Cites_doi 10.1016/j.ajem.2017.02.035
10.1016/j.ajem.2017.06.027
10.5492/wjccm.v13.i4.99587
10.1016/j.ajem.2022.12.034
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SubjectTerms Clinical outcomes
Confounding (Statistics)
Emergency
Emergency medical care
Emergency medical services
Health risks
Mortality
Mortality risk
Physiology
Trauma
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