| Early prediction of prolonged ventilator dependence in thermally injured patients. | |
| | |
MedLine Citation:
|
PMID: 9420102 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Recent studies suggest that when prolonged ventilator dependence (PVD) can be predicted in trauma or intensive care unit patients, early tracheostomy may reduce hospital stay and improve utilization of resources. This study was performed to develop criteria predictive of PVD (> 14 days) in burn patients. METHODS: We reviewed burn patients aged > or =16 years admitted between 1990 and 1994 who required ventilator support for > or =3 days. Using the variables full-thickness burn size, age, inhalation injury, and worst PaO2/FiO2 on ventilator day 3, an equation predicting PVD was created using logistic regression. The equation was tested by applying it to 1995 patients. RESULTS: When a probability of >0.5 was considered predictive of PVD, the equation correctly predicted PVD in 82% of 1990 to 1994 patients (n = 110) and 90% of 1995 patients (n = 29). CONCLUSION: PVD in burn patients can be predicted using objective variables in the early postburn period. Predictions can be used to select patients for prospective studies of early tracheostomy. |
| | |
Authors:
|
B J Sellers; B L Davis; P W Larkin; S E Morris; J R Saffle |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of trauma Volume: 43 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1997 Dec |
Date Detail:
|
Created Date: 1998-01-20 Completed Date: 1998-01-20 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 899-903 Citation Subset: AIM; IM |
Affiliation:
|
Intermountain Burn Center and the Department of Surgery, University of Utah, Salt Lake City 84132, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Blood Gas Analysis Burn Units / utilization* Burns / blood, classification*, pathology, therapy* Female Humans Logistic Models Male Patient Selection Predictive Value of Tests Registries Reproducibility of Results Respiration, Artificial* Retrospective Studies Risk Factors Time Factors Trauma Severity Indices* Utah |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The effect of blood transfusion on susceptibility to bacterial infection in genetically defined mous...
Next Document: Inhaled nitric oxide in acute respiratory distress syndrome.