Details

Autor(en) / Beteiligte

• O’Leary, Michael P., MD
• Keeley, Jessica A., MD
• Yule, Arthur, BS
• Suruki, Caitlyn, BS
• Plurad, David S., MD
• Moazzez, Ashkan, MD
• Neville, Angela L., MD
• Putnam, Brant A., MD
• Kim, Dennis Y., MD

Titel

Clinical Predictors of Early Acute Respiratory Distress Syndrome in Trauma Patients

Ist Teil von

• The American journal of surgery, 2016-12, Vol.212 (6), p.1096-1100

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2016

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Background The objectives of this study were to examine the incidence and severity of early acute respiratory distress syndrome (ARDS) according to the Berlin Definition and to identify risk factors associated with the development of early post-traumatic ARDS. Methods A 2.5 year retrospective database of adult trauma patients who required mechanical ventilation for >48 hours at a level 1 trauma center was analyzed for variables predictive of early (<48 hours after injury), mild, moderate, and severe ARDS and in-hospital mortality. Results Of 305 patients, 59 (19.3%) developed early ARDS: mild, 27 (45.8%); moderate, 26 (44.1%); and severe, 6 (10.1%). Performance of an emergent thoracotomy, blunt mechanism, and fresh frozen plasma (FFP) administration were independently associated with the development of early ARDS. ARDS was not predictive of mortality. Conclusion Trauma patients with blunt mechanism, who receive FFP, or undergo thoracotomy, are at risk of developing early ARDS.