Clinical Profile and Outcome of Non Traumatic Shock Patients Requiring Vasopressors for More Than Twelve Hours

Background: Shock is defined as a syndrome resulting in inadequate tissue perfusion and cellular oxygenation affecting multiple organ systems. Globally it is thought that shock of any etiology, septic shock especially is a terminal event between life and death, and is like handing over death warrant to a patient. This study was undertaken to find out various mortality predictors in shock, and to see, if their application can postulate remedy in future. Methods: This study was conducted on all admitted non-traumatic shock patients aged more than 18 years. Data was collected on daily basis till the day of discharge. Follow up of these patients was done at six months and at one year. Results: A total of 200 patients met the inclusion criteria. Of these patients 39% died in initial admission, 61% of patients were discharged from hospital. Out of survivors 10% died at six months and 4.5% died at one year, contributing total mortality of 53.5%. Significant mortality predictors identified include; Age greater than 60 years (p value= 0.001), Number of organ failures (p value less than 0.001), treatment with vasopressors for more than 24 hours (p value less than 0.001), high APPACHE ?II score and Mean Spao2 values. Conclusion: Overall one-year mortality of all shock patients was around 53.5%. Agegreater than 60 years, High APACHE score, Mean Spao2 values, Number of organ failures, and duration of shock were the main predictors and should be used for assessment of survival outcomes in shock patients.