SIPA v.1
Shock Index, Pediatric Age-Adjusted (SIPA) is used in pediatric patients of age group 4-16 yrs with blunt trauma.
To calculate the pediatric age-adjusted shock Index (SIPA) and predict the risk of blunt injury in children with elevated SIPA.
SIPA is the ratio of Maximum Heart rate to Minimum systolic BP in specific age groups. This is based on the fact that different age groups have a different normal range for the vitals. Age Group HR sBP Maximum normal SIPA 4-6 yrs 65-110 90-110 1.22 7-12 yrs 60-100 100-120 1.00 13-16 yrs 55-90 100-135 0.90 Age Group SIPA Risk for blunt injury 4-6 yrs > 1.22 22% 7-12 yrs > 1.00 25.1% 13-16 yrs > 0.90 32% Elevated SIPA is found to be associated with higher injury severity, increased risk of mortality, blood transfusion within 24 hrs, longer hospital stay
This should not be used in infants and toddlers and in injuries other than blunt injuries (for instance, it should not be used in penetrating injury risk assessment
1. Acker SN, Ross JT, Partrick DA, Tong S, Bensard DD. Pediatric specific shock index accurately identifies severely injured children. J Pediatr Surg. 2015 Feb;50(2):331–4. 2. Linnaus ME, Notrica DM, Langlais CS, St Peter SD, Leys CM, Ostlie DJ, et al. Prospective validation of the shock index pediatric-adjusted (SIPA) in blunt liver and spleen trauma: An ATOMAC+ study. J Pediatr Surg. 2017 Feb;52(2):340–4. 3. Acker SN, Bredbeck B, Partrick DA, Kulungowski AM, Barnett CC, Bensard DD. Shock index, pediatric age-adjusted (SIPA) is more accurate than age-adjusted hypotension for trauma team activation. Surgery. 2017;161(3):803–7. 4. Validation of the age-adjusted shock index using pediatric trauma quality improvement program data. - PubMed - NCBI [Internet]. [cited 2020 Feb 28]. Available from: https://www-ncbi-nlm-nih-gov.proxy.kib.ki.se/pubmed/29108845
OBSERVATION.basic_demographic.v1, OBSERVATION.pulse.v2, OBSERVATION.blood_pressure.v2, OBSERVATION.pediatric_age_adjusted_shoch_index.v1, EVALUATION.pediatric_age_adjusted_shock_index.v0
