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Forced vital capacity assessment for risk stratification of blunt chest trauma patients in emergency settings: A preliminary study

dc.rights.licenseopenen_US
dc.contributor.authorCARRIE, C.
dc.contributor.authorSTECKEN, L.
dc.contributor.authorSCOTTO, M.
dc.contributor.authorDURAND, M.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMASSON, Francoise
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorREVEL, Philippe
dc.contributor.authorBIAIS, M.
dc.date.accessioned2020-10-27T13:33:26Z
dc.date.available2020-10-27T13:33:26Z
dc.date.issued2018-02
dc.identifier.issn2352-5568en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/11503
dc.description.abstractEnOBJECTIVE: The aim of this study was to assess the performance of Forced Vital Capacity (FVC) for prediction of secondary respiratory complications in blunt chest trauma patients. METHODS: During a 15-month period, all consecutive blunt chest trauma patients admitted in our emergency intensive care unit with more than 3 rib fractures were eligible, unless they required mechanical ventilation in the prehospital or emergency settings. FVC was measured at admission and at emergency discharge after therapeutic interventions. The main outcome was the occurrence of secondary respiratory complications defined by hospital-acquired pulmonary infection, secondary admission in the intensive care unit or mechanical ventilation for respiratory failure or death. The performance of FVC for prediction of secondary respiratory complications was assessed by receiver operating characteristic (ROC) curve and multivariate analysis after logistic regression. RESULTS: Sixty-two consecutive patients were included and 13 (21%) presented secondary respiratory complications. Only FVC measured at emergency discharge - not FCV at admission - was significantly lower in patients who developed secondary respiratory complications (44+/-15 vs. 61+/-20%, P=0.002). The area under the ROC curves for FCV in predicting secondary pulmonary complications was 0.79 [95% CI: 0.66-0.88], P=0.0001. An FVC at discharge</=50% was independently associated with the occurrence of secondary complications with an OR at 7.9 [1.9-42.1], P=0.004. CONCLUSION: The non-improvement of FVC</=50% at emergency discharge is associated with secondary respiratory complications and should prevent the under-triage of patients with no sign of respiratory failure at admission.
dc.language.isoENen_US
dc.subject.enIETO
dc.title.enForced vital capacity assessment for risk stratification of blunt chest trauma patients in emergency settings: A preliminary study
dc.title.alternativeAnaesth Crit Care Pain Meden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.accpm.2016.12.004en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed28109938en_US
bordeaux.journalAnaesthesia, critical care & pain medicineen_US
bordeaux.page67-71en_US
bordeaux.volume37en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-02980296
hal.version1
hal.date.transferred2020-10-27T13:33:31Z
hal.exporttrue
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