Pulmonary Contusion in Mechanically Ventilated Subjects After Severe Trauma.
BACKGROUND: Pulmonary contusions are thought to worsen outcomes. We aimed to evaluate the effects of pulmonary contusion on mechanically ventilated trauma subjects with severe thoracic injuries and hypothesized that contusion would not increase morbidity. METHODS: We conducted a single-center, retro...
| Publicado en: | Respiratory Care Vol. 63; no. 8; pp. 950 - 955 |
|---|---|
| Autores principales: | , , , |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130908931&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130908931 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Aug2018 vid: 63 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 130908931 130908931 130908931 10.4187/respcare.05952 130908931 ppf: 950 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Pulmonary Contusion in Mechanically Ventilated Subjects After Severe Trauma. aug: au: Dhar, Sakshi Mathur Breite, Matthew D. Barnes, Stephen L. Quick, Jacob A. affil: Division of Acute Care Surgery, Department of Surgery, University of Missouri, Columbia, Missouri sug: subj: Emergency Patients Respiration, Artificial Trauma Radiography Human Retrospective Design Scales Pneumonia, Ventilator-Associated Methicillin-Resistant Staphylococcus Aureus Pseudomonas Infections Respiratory Distress Syndrome, Acute Descriptive Statistics Data Analysis Software T-Tests Two-Tailed Test Fisher's Exact Test Chi Square Test Confidence Intervals Education, Continuing (Credit) Outcome Assessment ab: BACKGROUND: Pulmonary contusions are thought to worsen outcomes. We aimed to evaluate the effects of pulmonary contusion on mechanically ventilated trauma subjects with severe thoracic injuries and hypothesized that contusion would not increase morbidity. METHODS: We conducted a single-center, retrospective review of 163 severely injured trauma subjects (injury severity score ≥ 15) with severe thoracic injury (chest abbreviated injury score ≥ 3), who required mechanical ventilation for >24 h at a verified Level 1 trauma center. Subject data were analyzed for those with radiographic documentation of pulmonary contusion and those without. Statistical analysis was performed to determine the effects of coexisting pulmonary contusion in severe thoracic trauma. RESULTS: Pulmonary contusion was present in 91 subjects (55.8%), whereas 72 (44.2%) did not have pulmonary contusions. Mean chest abbreviated injury score (3.54 vs 3.47, P = .53) and mean injury severity score (32.6 vs 30.2, P = .12) were similar. There was no difference in mortality (11 [12.1%] vs 9 [12.5%], P > .99) or length of stay (16.29 d vs 17.29 d, P = .60). Frequency of ventilator-associated pneumonia was comparable (43 [47.3%] vs 32 [44.4%], P = .75). Subjects with contusions were more likely to grow methicillin-sensitive Staphylococcus aureus in culture (33 vs 10, P = .004) as opposed to Pseudomonas aeruginosa in culture (6 vs 13, P = .003). CONCLUSIONS: Overall, no significant differences were noted in mortality, length of stay, or pneumonia rates between severely injured trauma subjects with and without pulmonary contusions. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|