Prediction of prolonged ventilatory support in blunt thoracic trauma patients

To identify predictors of prolonged (>7 days) mechanical ventilation (MV) in patients with blunt thoracic trauma. Prospective analysis of consecutive patients. Adult intensive care unit (ICU) in a teaching, tertiary-care hospital. Sixty-nine patients (53 men, 16 women) with thoracic trauma having...

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Bibliographic Details
Published in:Intensive care medicine 2003-07, Vol.29 (7), p.1101-1105
Main Authors: DIMOPOULOU, Ioanna, ANTHI, Anastasia, LIGNOS, Michalis, BOUKOUVALAS, Efstratios, EVANGELOU, Evangelos, ROUTSI, Christina, MANDRAGOS, Konstantinos, ROUSSOS, Charis
Format: Article
Language:English
Subjects:
Abdomen
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
Greece
Head injuries
Hospitals
Humans
Intensive care
Laparotomy
Male
Medical sciences
Middle Aged
Ostomy
Patients
Pneumonia
Respiration, Artificial
Severity of Illness Index
Thoracic Injuries - physiopathology
Trauma
Ventilators
Wounds, Nonpenetrating - physiopathology
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Summary:To identify predictors of prolonged (>7 days) mechanical ventilation (MV) in patients with blunt thoracic trauma. Prospective analysis of consecutive patients. Adult intensive care unit (ICU) in a teaching, tertiary-care hospital. Sixty-nine patients (53 men, 16 women) with thoracic trauma having a median age of 35 (range 17-85) years and a median injury severity score (ISS) of 29 (range 14-41) were enrolled in the present study. Associated injuries included head-neck (77%), extremities (72%), external (67%), abdomen-pelvis (67%), and face (55%). Patient surveillance and data collection. Thirty-three (48%) of the 69 patients required prolonged ventilatory support, ranging in duration from 8 to 38 (median 18) days. Logistic regression analysis revealed that advancing age (odds ratio=1.04, p=0.04), severity of head injury (odds ratio=1.92, p=0.008), and bilateral thoracic injuries (odds ratio=12.80, p
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-003-1813-0