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- W2353843863 abstract "Objective To investigate the timing of tracheal intubation and ventilator-associated pneumonia(VAP) after trauma.Methods From January 2009 to October 2011,the clinical data of adult trauma patients with tracheal intubation pre-hospital(PH) or respiratory department(RD) were retrospectively analyzed.The diagnosis of VAP were used bronchoscopic lavage,the patients cannot be used bronchoscopic lavage with clinical assessment method.Secondary outcomes included the incidence of VAP,length of stay and hospital mortality.Results In 286 patients,206 cases(72.0%) underwent pre-hospital intubation(PH group),80 cases(28.0%) underwent respiratory department intubation(RD group).The age of RD group was higher than the PH group(the mean age were 46.4 years and 39.1 years,P 0.01).The lowest average systolic blood pressure of two groups were compared,RD group was lower than the PH group(respectively for 102.8 mm Hg and 111.4 mm Hg,P 0.01)(1 mm Hg=0.133 kPa),despite of the average injury severity score of two groups were similar(respectively for 27.2 scores and 27.0 scores,P = 0.94).There was no difference in the incidence of VAP of two groups [respectively for 30(18.8%) and 71(17.2%),P = 0.66],and no difference in the diagnosis time [respectively for 8.1 days and 7.8 days,P = 0.89).Logistic regression analysis identified that the history of drug abuse,the lowest measured systolic blood pressure in emergency room and injury severity score were the independent factors for the occurrence of VAP.Conclusion The incidence of VAP of trauma patients with pre-hospital endotracheal intubation is not above tracheal intubation in respiratory department.The timing of tracheal intubation,sputum aspiration and other factors need to be intensively studied,in order to avoid the incidence of VAP." @default.
- W2353843863 created "2016-06-24" @default.
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- W2353843863 date "2012-01-01" @default.
- W2353843863 modified "2023-09-22" @default.
- W2353843863 title "The timing of tracheal intubation and ventilator-associated pneumonia after trauma" @default.
- W2353843863 hasPublicationYear "2012" @default.
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