Performance of shock index, lactate and physician’s gestalt in predicting adverse events among critically ill adult patients at an Emergency Department in Tanzania
Physicians gestalt in our setting demonstrated superior predictive performance compared to shock index and a comparable performance to lactate. This supports the use of gestalt as a low-resource risk stratification tool in emergency settings. However, accuracy of gestalt may depend on physician experience.
Authors
- Ellen J Weber (ORCID: https://orcid.org/0000-0002-0094-1973)
- Alphonce Nsabi Simbila (ORCID: https://orcid.org/0000-0002-1546-6423)
- Peter P. Kunambi (ORCID: https://orcid.org/0009-0002-0702-5625)
- Said S. Kilindimo (ORCID: https://orcid.org/0000-0002-2682-0475)
- Z. Hassan
- E Bernard
- Humphrey Godwin Medarakini (ORCID: https://orcid.org/0009-0006-3318-7184)
- Florian Vedasto
- Jennifer Tesha
- Rebecca N Tugara
Institutions
- Muhimbili University of Health and Allied Sciences (TZ)
- University of California, San Francisco (US)
- Muhimbili National Hospital (TZ)
Publication Details
- Journal
- African Journal of Emergency Medicine
- Published
- 2025-10-25
- DOI
- https://doi.org/10.1016/j.afjem.2025.100914
- Primary Topic
- Sepsis Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00