Your browser doesn't support javascript.
loading
Risk Factors for Pneumonia in Ventilated Trauma Patients with Multiple Rib Fractures
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 346-354, 2017.
Artículo en Inglés | WPRIM | ID: wpr-10928
ABSTRACT

BACKGROUND:

Ventilator-associated pneumonia (VAP) is a common disease that may contribute to morbidity and mortality among trauma patients in the intensive care unit (ICU). This study evaluated the associations between trauma factors and the development of VAP in ventilated patients with multiple rib fractures.

METHODS:

We retrospectively and consecutively evaluated 101 patients with multiple rib fractures who were ventilated and managed at our hospital between January 2010 and December 2015, analyzing the associations between VAP and trauma factors in these patients. Trauma factors included sternal fracture, flail chest, diaphragm injury, traumatic aortic dissection, combined cardiac injury, pulmonary contusion, pneumothorax, hemothorax, hemopneumothorax, abbreviated injury scale score, thoracic trauma severity score, and injury severity score.

RESULTS:

Forty-six patients (45.5%) had at least 1 episode of VAP, 10 (21.7%) of whom died in the ICU. Of the 55 (54.5%) patients who did not have pneumonia, 9 (16.4%) died in the ICU. Using logistic regression analysis, we found that VAP was associated with severe lung contusion (odds ratio, 3.07; 95% confidence interval, 1.12 to 8.39; p=0.029).

CONCLUSION:

Severe pulmonary contusion (pulmonary lung contusion score 6–12) is an independent risk factor for VAP in ventilated trauma patients with multiple rib fractures.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neumonía / Neumotórax / Fracturas de las Costillas / Costillas / Traumatismos Torácicos / Heridas y Lesiones / Diafragma / Escala Resumida de Traumatismos / Puntaje de Gravedad del Traumatismo / Modelos Logísticos Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2017 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neumonía / Neumotórax / Fracturas de las Costillas / Costillas / Traumatismos Torácicos / Heridas y Lesiones / Diafragma / Escala Resumida de Traumatismos / Puntaje de Gravedad del Traumatismo / Modelos Logísticos Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Inglés Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 2017 Tipo del documento: Artículo