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Fröhlich et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (2016) 24:148 DOI 10.1186/s13049-016-0340-2
ORIGINAL RESEARCH
Open Access
Is the shock index based classification of hypovolemic shock applicable in multiple injured patients with severe traumatic brain injury?—an analysis of the TraumaRegister DGU® Matthias Fröhlich1,2,6*, Arne Driessen1,6, Andreas Böhmer3,6, Ulrike Nienaber4,6, Alhadi Igressa5,6, Christian Probst1,6, Bertil Bouillon1,6, Marc Maegele1,6, Manuel Mutschler1,6 and and the TraumaRegister DGU6
Abstract Background: A new classification of hypovolemic shock based on the shock index (SI) was proposed in 2013. This classification contains four classes of shock and shows good correlation with acidosis, blood product need and mortality. Since their applicability was questioned, the aim of this study was to verify the validity of the new classification in multiple injured patients with traumatic brain injury. Methods: Between 2002 and 2013, data from 40 888 patients from the TraumaRegister DGU® were analysed. Patients were classified according to their initial SI at hospital admission (Class I: SI < 0.6, class II: SI ≥0.6 to
