Outcomes following prolonged mechanical ventilation: analysis of a countywide trauma registry

The Journal of Trauma and Acute Care Surgery
Jerry A RubanoRandeep S Jawa

Abstract

The care of mechanically ventilated patients at high-volume centers in select nontrauma populations has variable effects on outcomes. We evaluated outcomes for trauma patients requiring prolonged mechanical ventilation (PMV). We further hypothesized that the higher mechanical ventilator volume trauma center would have better outcomes. A retrospective review of a county's trauma registry was performed for trauma patients who were at least 18 years old admitted from 2006 to 2010. Eleven hospitals serve this suburban county, with a population of approximately 1.5 million people. The state has designated them as nontrauma centers (n = 6), area trauma centers (ATCs, n = 4), or regional trauma center (RTC, n = 1), where the last one provides the highest echelon of care. Patients requiring mechanical ventilation for at least 96 hours following injury were evaluated. A total of 3,382 trauma patients were admitted to the RTC, and 5,870 were admitted to the other 10 hospitals in the county. Seven hundred seventy-one received mechanical ventilation at the RTC, and 687 at the other 10 hospitals combined. Of these patients, 407 at the RTC and 308 at the remaining facilities (291 at ATCs and 17 at nontrauma centers) required PMV. Median (int...Continue Reading

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Citations

Jun 9, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·S WutzlerT Bingold
Dec 3, 2016·Journal of the American Geriatrics Society·Randeep S JawaJames A Vosswinkel
Oct 17, 2017·Current Opinion in Critical Care·Philipp StörmannSebastian Wutzler
Mar 16, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Sebastian WutzlerFrank Hildebrand

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