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The value of shock index, modified shock index and age shock index to predict mortality and hospitalisation in a district level emergency centre.

Afr J Emerg Med

December 2023

Division of Emergency Medicine, Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, F-51 Old Main Building Groote Schuur Hospital Observatory, Cape Town 7925, South Africa.

Introduction: Triage is the most important step in patients' journey through an Emergency Centre (EC) and directly impacts time to critical actions. Triage tools, like the South African Triage Scale, are however not designed to predict patient outcomes. The shock index (SI), modified shock index (MSI) and age shock index (ASI) are clinical markers derived from vital signs and correlate with tissue perfusion in critically ill patients.

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