EVALUATION OF MODIFIED SHOCK INDEX AS AN INDICATOR FOR PROGNOSIS AMONG SEPSIS PATIENTS WITH AND WITHOUT COMORBIDITIES PRESENTING TO EMERGENCY DEPARTMENT: A PROSPECTIVE OBSERVATIONAL STUDY

Background and Aim: Despite the established association between sepsis an pre-existing comorbid conditions, limited information is available about the survival impact on sepsis patients.We aimed to assess the predictive ability of modified shock index (MSI) among sepsis patients with and without comorbidities presenting to the emergency department (ED) at our tertiary care centre.

Methodology: This is a prospective, observational study consisting of total 140 patients presented with sepsis. MSI was calculated by dividing the heart rate(HR) by the mean arterial pressure(MAP),and determined at the time of admission. The predictive ability, sensitivity, and specificity of MSI was evaluated.

Conclusion: MSI had a good predictive ability for sepsis patients without comorbid conditions. While MSI carries suboptimal predictive ability for sepsis patients with comorbid conditions. Owing to MSI, a simple index that can be calculated at the bedside, can be utilized in the emergency department for the management of sepsis patients without comorbidities.