StayCurrentMD · Critical shock index, pediatric age-adjusted as a predictive statistic for ICU admission in pediatric trauma
Article1 min read·Published Aug 2025

Critical shock index, pediatric age-adjusted as a predictive statistic for ICU admission in pediatric trauma

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Article · Aug 2025 · 1 min read

In brief

In brief

This study develops age-adjusted critical shock index thresholds (CSI-PA) to predict ICU admission needs in pediatric trauma patients. By establishing pediatric-specific cutoffs for the heart rate to systolic blood pressure ratio, clinicians gain a validated tool for early identification of children requiring intensive care following traumatic injury.

  • Shock Index (heart rate/systolic BP) predicts poor outcomes in trauma but requires pediatric age adjustment.
  • Critical Shock Index, Pediatric Age-Adjusted (CSI-PA) provides age-specific cutoffs for pediatric trauma triage.
  • CSI-PA helps identify which pediatric trauma patients will require ICU-level care upon presentation.

Written by the GCMD Library team from the article.

Shock Index (SI), the ratio of heart rate (HEART RATE) to systolic blood pressure (SBP), has been described as a trauma index capable of predicting poor outcomes. We aim to develop age-appropriate cutoffs, the Critical Shock Index, Pediatric Age-Adjusted (CSI-PA), to anticipate the need for critical care in pediatric trauma patients.

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