Abstract:
Background and goal: The reverse shock index multiplied by the Glasgow Coma Scale
score (rSIG) predicts trauma patient mortality, according to previous studies. It is unclear if
rSIG can predict massive transfusion (MT) in trauma patients. This study examines whether
rSIG predicts MT in trauma patients. The study also tests whether rSIG can predict trauma
patients' coagulopathy, in-hospital mortality, and 24-hour death, rSIG's prognostic value for
MT in trauma patients is compared to TASH and ABC Scores.
Methods: This single-center prospective observational study at B.L.D.E.(DU), SHRI B.M.
Patil medical college hospital and research centre's emergency medicine department In
trauma patients, rSIG's prognostic value for MTP was compared to older scoring systems as
TASH and ABC Scores.
Results: MT was given to 20 of 195 patients. MT, in-hospital mortality, 24-hour mortality,
and coagulopathy are better predicted by rSIG than SI, SIA, and qSOFA. The in-hospital
mortality AUROC for rSIG was 0.812, indicating its dependability. Prior study shows that
rSIG can predict trauma patients' death and coagulopathy. All three tests are discriminatory,
but evaluation assessment blood consumption is most accurate, followed by TASHScore
and rSIG using ROC values.MT rSIG predicted better than SI, SIA, and qSOFA (AUROC =
0.842). rSIG predicted coagulopathy, in-hospital, and 24-hour mortality better than SI, SIA,
and qSOFA. RSIG combines hemodynamic instability (reverse SI) and consciousness
(GCS) for a more complete trauma patient evaluation. Detecting coagulopathy early with
rSIG permits rewarming, acidosis correction, balanced transfusion, and massive transfusion
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regimens. Conclusion: The study shows that rSIG can identify trauma patients at high risk for major
transfusion, coagulopathy, and death. Assessment Blood consumption evaluation is most
accurate, followed by TASH Score and rSIG, for managing severe trauma situations swiftly
and effectively which could improve patient outcomes.
