Predictive Factors of Ventilatory Support in Chest Trauma

This study aims to define possible predictors of the need of invasive and non-invasive ventilatory support, in addition to predictors of mortality in patients with severe thoracic trauma. Data from 832 patients admitted to our trauma center were collected from 2010 to 2017 and retrospectively analyz...

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Autores principales:	Silvia Fattori, Elisa Reitano, Osvaldo Chiara, Stefania Cimbanassi
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	trauma chest trauma thorax injury non-invasive ventilation invasive ventilation outcome Science Q
Acceso en línea:	https://doaj.org/article/2bce971b57924b49b6c178d8f3c0be1d
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spelling	oai:doaj.org-article:2bce971b57924b49b6c178d8f3c0be1d2021-11-25T18:10:44ZPredictive Factors of Ventilatory Support in Chest Trauma10.3390/life111111542075-1729https://doaj.org/article/2bce971b57924b49b6c178d8f3c0be1d2021-10-01T00:00:00Zhttps://www.mdpi.com/2075-1729/11/11/1154https://doaj.org/toc/2075-1729This study aims to define possible predictors of the need of invasive and non-invasive ventilatory support, in addition to predictors of mortality in patients with severe thoracic trauma. Data from 832 patients admitted to our trauma center were collected from 2010 to 2017 and retrospectively analyzed. Demographic data, type of respiratory assistance, chest injuries, trauma scores and outcome were considered. Univariate analysis was performed, and binary logistic regression was applied to significant data. The injury severity score (ISS) and the revised trauma score (RTS) were both found to be predictive factors for invasive ventilation. Multivariate analysis of the anatomical injuries revealed that the association of high-severity thoracic injuries with trauma in other districts is an indicator of the need for orotracheal intubation. From the analysis of physiological parameters, values of systolic blood pressure, lactate, and Glasgow coma scale (GCS) score indicate the need for invasive ventilatory support. Predictive factors for non-invasive ventilation include: RTS, ISS, number of rib fractures and presence of hemothorax. Risk factors for death were: age over 65, the presence of bilateral rib fractures, pulmonary contusion, hemothorax and associated head trauma. In conclusion, the need for invasive ventilatory support in thoracic trauma is associated to the patient’s systemic severity. Non-invasive ventilation is a supportive treatment indicated in physiologically stable patients regardless of the severity of thoracic injury.Silvia FattoriElisa ReitanoOsvaldo ChiaraStefania CimbanassiMDPI AGarticletraumachest traumathorax injurynon-invasive ventilationinvasive ventilationoutcomeScienceQENLife, Vol 11, Iss 1154, p 1154 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	trauma chest trauma thorax injury non-invasive ventilation invasive ventilation outcome Science Q
spellingShingle	trauma chest trauma thorax injury non-invasive ventilation invasive ventilation outcome Science Q Silvia Fattori Elisa Reitano Osvaldo Chiara Stefania Cimbanassi Predictive Factors of Ventilatory Support in Chest Trauma
description	This study aims to define possible predictors of the need of invasive and non-invasive ventilatory support, in addition to predictors of mortality in patients with severe thoracic trauma. Data from 832 patients admitted to our trauma center were collected from 2010 to 2017 and retrospectively analyzed. Demographic data, type of respiratory assistance, chest injuries, trauma scores and outcome were considered. Univariate analysis was performed, and binary logistic regression was applied to significant data. The injury severity score (ISS) and the revised trauma score (RTS) were both found to be predictive factors for invasive ventilation. Multivariate analysis of the anatomical injuries revealed that the association of high-severity thoracic injuries with trauma in other districts is an indicator of the need for orotracheal intubation. From the analysis of physiological parameters, values of systolic blood pressure, lactate, and Glasgow coma scale (GCS) score indicate the need for invasive ventilatory support. Predictive factors for non-invasive ventilation include: RTS, ISS, number of rib fractures and presence of hemothorax. Risk factors for death were: age over 65, the presence of bilateral rib fractures, pulmonary contusion, hemothorax and associated head trauma. In conclusion, the need for invasive ventilatory support in thoracic trauma is associated to the patient’s systemic severity. Non-invasive ventilation is a supportive treatment indicated in physiologically stable patients regardless of the severity of thoracic injury.
format	article
author	Silvia Fattori Elisa Reitano Osvaldo Chiara Stefania Cimbanassi
author_facet	Silvia Fattori Elisa Reitano Osvaldo Chiara Stefania Cimbanassi
author_sort	Silvia Fattori
title	Predictive Factors of Ventilatory Support in Chest Trauma
title_short	Predictive Factors of Ventilatory Support in Chest Trauma
title_full	Predictive Factors of Ventilatory Support in Chest Trauma
title_fullStr	Predictive Factors of Ventilatory Support in Chest Trauma
title_full_unstemmed	Predictive Factors of Ventilatory Support in Chest Trauma
title_sort	predictive factors of ventilatory support in chest trauma
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2bce971b57924b49b6c178d8f3c0be1d
work_keys_str_mv	AT silviafattori predictivefactorsofventilatorysupportinchesttrauma AT elisareitano predictivefactorsofventilatorysupportinchesttrauma AT osvaldochiara predictivefactorsofventilatorysupportinchesttrauma AT stefaniacimbanassi predictivefactorsofventilatorysupportinchesttrauma
_version_	1718411488086982656

Predictive Factors of Ventilatory Support in Chest Trauma

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