Document Detail


Factors associated with early onset pneumonia in the severely brain-injured patient.
MedLine Citation:
PMID:  8565507     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An analysis of 125 patients with closed head injury was completed in order to identify the risk factors involved in the development of early pneumonia. Pneumonia was diagnosed in 60% of the patients. Early pneumonia developed in 47.8% of the patients. Brain-injured patients who developed early pneumonia were found to have a lower Glasgow Coma Scale (GCS) score. Early pneumonia was found more often in patients with swallowing disorders and evidence of aspiration. Patients who had been intubated in the field were found to be at greater risk for the development of early pneumonia than those intubated in the hospital. Patients with early pneumonia had prolonged intubation times, intensive care unit stays, and hospital stays. This study suggests that a GCS score less than 5, evidence for swallowing disorders and aspiration, and field intubation are risk factors for early pneumonia in the brain-injured patient.
Authors:
S P Woratyla; A S Morgan; L Mackay; B Bernstein; C Barba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Connecticut medicine     Volume:  59     ISSN:  0010-6178     ISO Abbreviation:  Conn Med     Publication Date:  1995 Nov 
Date Detail:
Created Date:  1996-03-01     Completed Date:  1996-03-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372745     Medline TA:  Conn Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  643-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Connecticut School of Medicine, Farmington, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Critical Care
Cross Infection / etiology*
Female
Glasgow Coma Scale
Head Injuries, Closed / complications*
Humans
Length of Stay
Male
Middle Aged
Pneumonia, Aspiration / etiology*
Pneumonia, Bacterial / etiology*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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