Assessing the efficacy of the shock index in predicting mortality in patients with intracerebral hemorrhage

OBJECTIVE: It has been reported that the shock index assists in the prediction of poor prognosis in stroke patients. However, the role of this index in predicting mortality and prognosis in patients with intracerebral hemorrhage has not been sufficiently investigated. The objective is to examine the correlation between the shock index and mortality and unfavorable clinical outcomes in individuals with intracerebral hemorrhage. METHODS: 110 consecutive cases of intracerebral hemorrhage were evaluated in the emergency department. The shock index values of the patients were calculated using their initial blood pressures and HR. For descriptive purposes, the shock index values were categorized into three groups: <0.50, 0.50-0.70, and >0.70. The relationships of these three values and the mean shock index with hematoma volume, hematoma rupturing into the ventricle, length of hospital stay, complications during this period, and in-hospital and three-month mortality were examined. RESULTS: There were 58 male patients in this study, with a mean age of 62.66 +/- 13.64 years. The mean baseline Glasgow Coma Scale score was 13.78 +/- 2.37, and the mean baseline shock index value was 0.51 +/- 0.13. The mean time of hospitalization was estimated to be 17.01 +/- 14.02 days. The mean in-hospital mortality rate was 19%, and the mean three-month mortality rate was 23%. No statistically significant differences were found in hematoma volume, hematoma rupturing into the ventricle, length of hospital stay, complications during this period, or in-hospital and three-month mortality according to the mean shock index value or shock index categories (<0.50, 0.50-0.70, and >0.70). CONCLUSION: The shock index evaluated in the emergency department in patients with intracerebral hemorrhage is not related to mortality or morbidity.