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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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| Published in: | Intensive care medicine 2003-07, Vol.29 (7), p.1101-1105 |
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| cited_by | cdi_FETCH-LOGICAL-c397t-17dd8a161d42f4f17305126b546bbf77330ef383054d48e9bc0177bc5c84a35d3 |
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| cites | cdi_FETCH-LOGICAL-c397t-17dd8a161d42f4f17305126b546bbf77330ef383054d48e9bc0177bc5c84a35d3 |
| container_end_page | 1105 |
| container_issue | 7 |
| container_start_page | 1101 |
| container_title | Intensive care medicine |
| container_volume | 29 |
| creator | DIMOPOULOU, Ioanna ANTHI, Anastasia LIGNOS, Michalis BOUKOUVALAS, Efstratios EVANGELOU, Evangelos ROUTSI, Christina MANDRAGOS, Konstantinos ROUSSOS, Charis |
| description | 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 |
| doi_str_mv | 10.1007/s00134-003-1813-0 |
| format | article |
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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<0.0001) were significant and independent predictors of long-lasting MV. In contrast, gender, injuries affecting the other body regions (face, abdomen-pelvis, extremities, and external), laparotomy in patients with abdominal injury, or PaO(2)/FIO(2) on admission in the ICU, were unrelated to prolonged MV.
In thoracic trauma patients admitted in the ICU, prolonged mechanical ventilation was primarily determined by presence of bilateral chest injuries, age, and degree of neurotrauma. This information may help in planning the long-term care of such patients.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-003-1813-0</identifier><identifier>PMID: 12802485</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>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</subject><ispartof>Intensive care medicine, 2003-07, Vol.29 (7), p.1101-1105</ispartof><rights>2003 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-17dd8a161d42f4f17305126b546bbf77330ef383054d48e9bc0177bc5c84a35d3</citedby><cites>FETCH-LOGICAL-c397t-17dd8a161d42f4f17305126b546bbf77330ef383054d48e9bc0177bc5c84a35d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14943724$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12802485$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DIMOPOULOU, Ioanna</creatorcontrib><creatorcontrib>ANTHI, Anastasia</creatorcontrib><creatorcontrib>LIGNOS, Michalis</creatorcontrib><creatorcontrib>BOUKOUVALAS, Efstratios</creatorcontrib><creatorcontrib>EVANGELOU, Evangelos</creatorcontrib><creatorcontrib>ROUTSI, Christina</creatorcontrib><creatorcontrib>MANDRAGOS, Konstantinos</creatorcontrib><creatorcontrib>ROUSSOS, Charis</creatorcontrib><title>Prediction of prolonged ventilatory support in blunt thoracic trauma patients</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><description>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<0.0001) were significant and independent predictors of long-lasting MV. In contrast, gender, injuries affecting the other body regions (face, abdomen-pelvis, extremities, and external), laparotomy in patients with abdominal injury, or PaO(2)/FIO(2) on admission in the ICU, were unrelated to prolonged MV.
In thoracic trauma patients admitted in the ICU, prolonged mechanical ventilation was primarily determined by presence of bilateral chest injuries, age, and degree of neurotrauma. This information may help in planning the long-term care of such patients.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Greece</subject><subject>Head injuries</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Laparotomy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Respiration, Artificial</subject><subject>Severity of Illness Index</subject><subject>Thoracic Injuries - physiopathology</subject><subject>Trauma</subject><subject>Ventilators</subject><subject>Wounds, Nonpenetrating - physiopathology</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpdkE1LxDAURYMozjj6A9xIEHRXzVebdCmDXzCiC12HNE00Q6epSSrMvzfDFARXDx7nvnc5AJxjdIMR4rcRIUxZgRAtsMC0QAdgjhklBSZUHII5oowUrGJkBk5iXGeaVyU-BjNMBCJMlHPw8hZM63RyvofewiH4zvefpoU_pk-uU8mHLYzjMPiQoOth0419gunLB6WdhimocaPgoJLLfDwFR1Z10ZxNcwE-Hu7fl0_F6vXxeXm3KjSteSowb1uhcIVbRiyzmFNUYlI1JauaxnJOKTKWirxlLROmbnRuzhtdasEULVu6ANf7u7nv92hikhsXtek61Rs_Rskpq0iNqgxe_gPXfgx97iZJ_i9EWaMM4T2kg48xGCuH4DYqbCVGcida7kXLLFruRMtd5mI6PDYb0_4lJrMZuJoAFbXqbFC9dvGPYzWjnDD6CwHKhR8</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>DIMOPOULOU, Ioanna</creator><creator>ANTHI, Anastasia</creator><creator>LIGNOS, Michalis</creator><creator>BOUKOUVALAS, Efstratios</creator><creator>EVANGELOU, Evangelos</creator><creator>ROUTSI, Christina</creator><creator>MANDRAGOS, Konstantinos</creator><creator>ROUSSOS, Charis</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Prediction of prolonged ventilatory support in blunt thoracic trauma patients</title><author>DIMOPOULOU, Ioanna ; ANTHI, Anastasia ; LIGNOS, Michalis ; BOUKOUVALAS, Efstratios ; EVANGELOU, Evangelos ; ROUTSI, Christina ; MANDRAGOS, Konstantinos ; ROUSSOS, Charis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-17dd8a161d42f4f17305126b546bbf77330ef383054d48e9bc0177bc5c84a35d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Abdomen</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Greece</topic><topic>Head injuries</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Laparotomy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Respiration, Artificial</topic><topic>Severity of Illness Index</topic><topic>Thoracic Injuries - physiopathology</topic><topic>Trauma</topic><topic>Ventilators</topic><topic>Wounds, Nonpenetrating - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DIMOPOULOU, Ioanna</creatorcontrib><creatorcontrib>ANTHI, Anastasia</creatorcontrib><creatorcontrib>LIGNOS, Michalis</creatorcontrib><creatorcontrib>BOUKOUVALAS, Efstratios</creatorcontrib><creatorcontrib>EVANGELOU, Evangelos</creatorcontrib><creatorcontrib>ROUTSI, Christina</creatorcontrib><creatorcontrib>MANDRAGOS, Konstantinos</creatorcontrib><creatorcontrib>ROUSSOS, Charis</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DIMOPOULOU, Ioanna</au><au>ANTHI, Anastasia</au><au>LIGNOS, Michalis</au><au>BOUKOUVALAS, Efstratios</au><au>EVANGELOU, Evangelos</au><au>ROUTSI, Christina</au><au>MANDRAGOS, Konstantinos</au><au>ROUSSOS, Charis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of prolonged ventilatory support in blunt thoracic trauma patients</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>29</volume><issue>7</issue><spage>1101</spage><epage>1105</epage><pages>1101-1105</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>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<0.0001) were significant and independent predictors of long-lasting MV. In contrast, gender, injuries affecting the other body regions (face, abdomen-pelvis, extremities, and external), laparotomy in patients with abdominal injury, or PaO(2)/FIO(2) on admission in the ICU, were unrelated to prolonged MV.
In thoracic trauma patients admitted in the ICU, prolonged mechanical ventilation was primarily determined by presence of bilateral chest injuries, age, and degree of neurotrauma. This information may help in planning the long-term care of such patients.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>12802485</pmid><doi>10.1007/s00134-003-1813-0</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Intensive care medicine, 2003-07, Vol.29 (7), p.1101-1105 |
| issn | 0342-4642 1432-1238 |
| language | eng |
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| source | Springer Nature |
| 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 |
| title | Prediction of prolonged ventilatory support in blunt thoracic trauma patients |
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