Development of a novel tool to predict pulmonary complications in trauma patients with and without chest injury - 20/06/22
, Areg Grigorian b , Jeffry T. Nahmias b , Kenji Inaba c , Catherine M. Kuza a, ⁎ Abstract |
Background |
Existing chest trauma scoring tools are often only applicable to patients with chest trauma. We sought to develop a novel Trauma Induced Pulmonary Event (TIPE) score to predict the risk of developing pulmonary complications in all adult trauma patients.
Methods |
Multiple logistic regression models were created using the 2017 Trauma Quality Improvement Program (TQIP) to identify independent predictors of pulmonary complications in trauma patients. The weighted average and relative impact of each independent predictor was used to derive a TIPE score. We then validated the score using area under the receiver operating curve (AROC).
Results |
A total of 22 independent predictors of pulmonary complications were identified. The TIPE score was derived with scores ranging from 0 to 43. Injury accounted for 74% of the total score while comorbidities and demographics made up 21% and 5%, respectively. The most important individual predictors were injuries to the spinal cord and bile ducts (both 4 points). The AROC for this was 0.844.
Discussion |
TIPE is a novel scoring tool to help predict pulmonary complications in all trauma patients.
Le texte complet de cet article est disponible en PDF.Graphical abstract |
Highlights |
• | Trauma patients with and without thoracic injury may develop pulmonary complication. |
• | Regression models using 2017 Trauma Quality Improvement Program (TQIP) database. |
• | Scoring tool to predict develop pulmonary complications in all trauma patients. |
• | Developed a novel Trauma Induced Pulmonary Event (TIPE) score. |
Keywords : Pulmonary complication, Trauma, Scoring tool, TIPE
Plan
Vol 224 - N° 1PA
P. 64-68 - juillet 2022 Retour au numéro
Article précédent
- Use of post-discharge opioid consumption patterns as a tool for evaluating opioid prescribing guidelines
- Josh Bleicher, Zachary Fender, Jordan E. Johnson, Brian T. Cain, Kathy Phan, Damien Powers, Guo Wei, Angela P. Presson, Alvin Kwok, T. Bartley Pickron, Courtney L. Scaife, Lyen C. Huang
- The vexing triad of obesity, alcohol, and coagulopathy predicts the need for multiple operations in liver transplantation
- Hunter B. Moore, Yanik J. Bababekov, James J. Pomposelli, Megan A. Adams, Cara Crouch, Dor Yoeli, Rashikh A. Choudhury, Tanner Ferrell, James R. Burton, Elizabeth A. Pomfret, Trevor L. Nydam
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?