Factors Associated with ICU Admission following Blunt Chest Trauma
Joint Authors
Bellone, Andrea
Bossi, Ilaria
Etteri, Massimiliano
Cantaluppi, Francesca
Pina, Paolo
Guanziroli, Massimo
Bianchi, AnnaMaria
Casazza, Giovanni
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Blunt chest wall trauma accounts for over 10% of all trauma patients presenting to emergency departments worldwide.
When the injury is not as severe, deciding which blunt chest wall trauma patients require a higher level of clinical input can be difficult.
We hypothesized that patient factors, injury patterns, analgesia, postural condition, and positive airway pressure influence outcomes.
Methods.
The study population consisted of patients hospitalized with at least 3 rib fractures (RF) and at least one pulmonary contusion and/or at least one pneumothorax lower than 2 cm.
Results.
A total of 140 patients were retrospectively analyzed.
Ten patients (7.1%) were admitted to intensive care unit (ICU) within the first 72 hours, because of deterioration of the clinical conditions and gas exchange with worsening of chest X-ray/thoracic ultrasound/chest computed tomography.
On univariable analysis and multivariable analysis, obliged orthopnea ( p = 0.0018 ) and the severity of trauma score ( p < 0.0002 ) were associated with admission to ICU.
Conclusions.
Obliged orthopnea was an independent predictor of ICU admission among patients incurring non-life-threatening blunt chest wall trauma.
The main therapeutic approach associated with improved outcome is the prevention of pulmonary infections due to reduced tidal volume, namely, upright postural condition and positive airway pressure.
American Psychological Association (APA)
Bellone, Andrea& Bossi, Ilaria& Etteri, Massimiliano& Cantaluppi, Francesca& Pina, Paolo& Guanziroli, Massimo…[et al.]. 2016. Factors Associated with ICU Admission following Blunt Chest Trauma. Canadian Respiratory Journal،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1103181
Modern Language Association (MLA)
Bellone, Andrea…[et al.]. Factors Associated with ICU Admission following Blunt Chest Trauma. Canadian Respiratory Journal No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1103181
American Medical Association (AMA)
Bellone, Andrea& Bossi, Ilaria& Etteri, Massimiliano& Cantaluppi, Francesca& Pina, Paolo& Guanziroli, Massimo…[et al.]. Factors Associated with ICU Admission following Blunt Chest Trauma. Canadian Respiratory Journal. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1103181
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1103181