PMID: 9420102Jan 7, 1998Paper

Early prediction of prolonged ventilator dependence in thermally injured patients

The Journal of Trauma
B J SellersJ R Saffle

Abstract

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. 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. 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). 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.

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Citations

Jan 17, 2003·Critical Care Medicine·Robert L Sheridan
May 16, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tina L Palmieri
May 12, 2007·Critical Care : the Official Journal of the Critical Care Forum·Ognjen GajicUNKNOWN Second International Study of Mechanical Ventilation and ARDS-net Investigators
Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Lee C Woodson
Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Daniel M Caruso
Sep 9, 2004·The Journal of Burn Care & Rehabilitation·Geoffrey M SilverRichard L Gamelli
Jan 26, 2013·Medicina intensiva·J M AñónUNKNOWN Grupo de Trabajo de Insuficiencia Respiratoria Aguda de la SEMICYUC
Mar 6, 2012·Medicina intensiva·J M AñónR Madero
Apr 29, 2008·Clinics in Chest Medicine·Christopher King, Lisa K Moores
Jun 22, 1999·AORN Journal·D D Rose, E B Jordan
Sep 25, 2001·Current Problems in Surgery·R L Sheridan
Oct 11, 2003·Clinics in Chest Medicine·John E Heffner
Dec 17, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·C Carrie LiuJoseph C Dort
Jun 2, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tia SuttonMichael Mosier
Jan 13, 2015·The Cochrane Database of Systematic Reviews·Brenda N G AndrioloOrsine Valente
Dec 9, 2008·Journal of Burn Care & Research : Official Publication of the American Burn Association·Tina L Palmieri
Feb 18, 2010·Expert Review of Respiratory Medicine·Sebastian RehbergDaniel L Traber
Oct 28, 2010·Expert Review of Neurotherapeutics·Ahmad BayatSanjay M Bhananker
Nov 15, 2002·The Journal of Burn Care & Rehabilitation·Jeffrey R SaffleLinda Edelman
Sep 15, 2009·British Journal of Hospital Medicine·Jim Down, Wilby Williamson
Dec 11, 2020·Respiration; International Review of Thoracic Diseases·Bernd SchönhoferWolfram Windisch

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