About: Incidence of post-traumatic pneumonia in poly-traumatized patients: identifying the role of traumatic brain injury and chest trauma

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About: Incidence of post-traumatic pneumonia in poly-traumatized patients: identifying the role of traumatic brain injury and chest trauma Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Incidence of post-traumatic pneumonia in poly-traumatized patients: identifying the role of traumatic brain injury and chest trauma
Creator	Hildebrand, · Andruszkow, Hagen Hofman, Martijn Kobbe, Philipp Poeze, Martijn
Source	PMC
abstract	PURPOSE: Traumatic brain injury (TBI) and chest trauma are common injuries in severely injured patients. Both entities are well known to be associated with severe post-traumatic complications, including pneumonia, a common complication with a significant impact on the further clinical course. However, the relevance of TBI, chest trauma and particularly their combination as risk factors for the development of pneumonia and its impact on outcomes are not fully elucidated. METHODS: A retrospective analysis of poly-traumatized patients treated between 2010 and 2015 at a level I trauma centre was performed. Inclusion criteria were: Injury Severity Score ≥ 16 and age ≥ 18 years. TBI and chest trauma were classified according to the Abbreviated Injury Scale. Complications (i.e. acute respiratory distress syndrome (ARDS), multi-organ dysfunction syndrome (MODS) and pneumonia) were documented by a review of the medical records. The primary outcome parameter was in-hospital mortality. RESULTS: Over the clinical course, 19.9% of all patients developed pneumonia, and in-hospital mortality was 25.3%. Pneumonia (OR 5.142, p = 0.001) represented the strongest independent predictor of in-hospital mortality, followed by the combination of chest injury and TBI (OR 3.784, p = 0.008) and TBI (OR 3.028, p = 0.010). Chest injury alone, the combination of chest injury and TBI, and duration of ventilation were independent predictors of pneumonia [resp. OR 4.711 (p = 0.004), OR 4.193 (p = 0.004), OR 1.002 (p < 0.001)]. CONCLUSIONS: Chest trauma alone and especially its combination with TBI represent high-risk injury patterns for the development of pneumonia, which forms the strongest predictor of mortality in poly-traumatized patients.
has issue date	2019-07-03(xsd:dateTime)
bibo:doi	10.1007/s00068-019-01179-1
bibo:pmid	31270555
has license	no-cc
sha1sum (hex)	6754c54f2db5b9e27be3ef6eaf18ef4961944cc6
schema:url	https://doi.org/10.1007/s00068-019-01179-1
resource representing a document's title	Incidence of post-traumatic pneumonia in poly-traumatized patients: identifying the role of traumatic brain injury and chest trauma
has PubMed Central identifier	PMC7223163
has PubMed identifier	31270555
schema:publication	Eur J Trauma Emerg Surg
resource representing a document's body	covid:6754c54f2db5b9e27be3ef6eaf18ef4961944cc6#body_text
is schema:about of	named entity 'Chest trauma' named entity 'Pneumonia' named entity 'Chest injury' named entity 'represent' named entity 'classified' named entity 'injuries' named entity 'POST' named entity 'IN-HOSPITAL MORTALITY' named entity 'TRAUMA' named entity '004' named entity 'A COMMON' named entity 'PNEUMONIA' named entity 'FULLY' named entity 'REPRESENT' named entity 'patterns' named entity 'chest injury' named entity 'Injury Severity Score' named entity 'Abbreviated Injury Scale' named entity 'acute respiratory distress syndrome (ARDS)' named entity 'mortality' named entity 'TBI' named entity 'entities' named entity 'trauma centre' named entity 'chest trauma' named entity 'TBI' named entity 'Abbreviated Injury Scale' named entity 'pneumonia' named entity 'pneumonia' named entity 'pneumonia' named entity 'Chest trauma' named entity 'chest injury' named entity 'chest trauma' named entity 'pneumonia' named entity 'post-traumatic' named entity 'Results' named entity 'chest trauma' named entity 'primary' named entity 'odds ratio' named entity 'risk factor' named entity 'TBI' named entity 'lung function' named entity 'pneumonia' named entity 'MODS' named entity 'ARDS' named entity 'TBI' named entity 'trauma patients' named entity 'purulent' named entity 'Chest trauma' named entity 'pneumonia' named entity 'severely injured' named entity 'chest trauma' named entity 'TBI' named entity 'TBI' named entity 'pneumonia' named entity 'chest radiograph' named entity 'analysis of variance' named entity 'synergistic' named entity 'regression analyses' named entity 'brain injury' named entity 'thorax' named entity 'urine output' named entity 'severely injured' named entity 'chest trauma' named entity 'rib fractures' named entity 'chest trauma' named entity 'pneumonia' named entity 'pneumonia' named entity 'TBI' named entity 'dyspnoea' named entity 'organ systems' named entity 'correlation' named entity 'pneumonia' named entity 'pneumonia' named entity 'fever' named entity 'pneumonia' named entity 'severely injured' named entity 'ARDS'

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