Predictors of pneumonia in trauma patients with pulmonary contusion

Todd J Janus; Mary S Vaughan-Sarrazin; Larry J Baker; Hayden L Smith

doi:10.1097/JTN.0b013e318261d1e2

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Predictors of pneumonia in trauma patients with pulmonary contusion

Journal article

Peer reviewed

Predictors of pneumonia in trauma patients with pulmonary contusion

Todd J Janus, Mary S Vaughan-Sarrazin, Larry J Baker and Hayden L Smith

Journal of trauma nursing, Vol.19(3), pp.139-147

07/2012

DOI: 10.1097/JTN.0b013e318261d1e2

PMID: 22955708

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Abstract

The purpose of this article was to determine assessable risk levels for pneumonia in trauma patients with pulmonary contusion. A retrospective review and analysis of national trauma data of patients with pulmonary contusion were identified to develop a risk assessment model. Trauma data for 2007 were used to determine risk factors for subsequent complication of pneumonia in pulmonary contusion patients. Available patient comorbidities were considered in model development. Next, 2008 data were used to test and finalize model. Pneumonia risk was categorized into 3 ordinal levels, based on equal-sized proportions of pulmonary contusion patients. Significant risk factors for pneumonia included age, gender, pulse rate, systolic blood pressure, obesity, Glasgow Coma Scale motor score, and ventilation on admission. The final risk adjustment model had good fit and discrimination. Study analyses used more than 40 000 trauma patient data to devise assessable risk levels for pneumonia in pulmonary contusion diagnosed patients. Study data can assist in direction of care and triaging of urgent care patients at risk of pneumonia, possibly leading to mitigation and prevention of pneumonia in at risk patients. Further review of study outcomes should occur to fully understand applicability and usefulness in urgent settings.

Acute Lung Injury - complications

Acute Lung Injury - diagnosis

Adolescent

Adult

Age Distribution

Area Under Curve

Contusions - complications

Contusions - diagnosis

Databases, Factual

Female

Follow-Up Studies

Glasgow Coma Scale

Humans

Incidence

Injury Severity Score

Male

Middle Aged

Multiple Trauma - complications

Multiple Trauma - diagnosis

Pneumonia - epidemiology

Pneumonia - etiology

Pneumonia - physiopathology

Predictive Value of Tests

Registries

Regression Analysis

Retrospective Studies

Risk Assessment

Sex Distribution

Trauma Centers

Young Adult

Details

Title: Subtitle: Predictors of pneumonia in trauma patients with pulmonary contusion
Creators: Todd J Janus - Iowa Methodist Medical Center
Mary S Vaughan-Sarrazin
Larry J Baker
Hayden L Smith
Resource Type: Journal article
Publication Details: Journal of trauma nursing, Vol.19(3), pp.139-147
DOI: 10.1097/JTN.0b013e318261d1e2
PMID: 22955708
ISSN: 1078-7496
eISSN: 1932-3883
Language: English
Date published: 07/2012
Academic Unit: Neurology; Health Management and Policy; Family and Community Medicine; General Internal Medicine; Internal Medicine
Record Identifier: 9984359838202771

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