open access

Vol 48, No 3 (2016)
Original and clinical articles
Published online: 2016-06-01
Submitted: 2015-03-31
Accepted: 2015-06-30
Get Citation

Outcome of patients of chest trauma suffering from chronic obstructive pulmonary disease — experience at level 1 trauma centre

Richa Aggarwal, Kapil Dev Soni, Amit Gupta, Subodh Kumar
DOI: 10.5603/AIT.a2016.0031
·
Anaesthesiol Intensive Ther 2016;48(3):162-165.

open access

Vol 48, No 3 (2016)
Original and clinical articles
Published online: 2016-06-01
Submitted: 2015-03-31
Accepted: 2015-06-30

Abstract

BACKGROUND: The outcome of chest trauma depends on many factors, one of which includes comorbidities. Nowadays, as the elderly population is on the rise, more and more trauma victims are being admitted with chronic obstructive pulmonary disease as a comorbidity in trauma centre intensive care units. However, there are hardly any studies describing the outcome of such patients with chest trauma and chronic obstructive pulmonary disease, both being respiratory problems.

The aim was to study the outcomes and various complications in patients of chest trauma with COPD admitted to our ICU over a given time period.

METHODS: A detailed review of charts of patients with chest trauma and chronic obstructive pulmonary disease admitted over one and a half years was performed and various parameters noted, including as follows: demographic data; various scores; the number of days on a ventilator and in the ICU. Moreover, complications, such as ventilator associated pneumonia, catheter related bloodstream infections, as well as outcomes, were noted.

RESULT: During the study period, 19 patients were admitted, out of which 4 died. The APACHE scores were higher for those who died and all had ventilator-associated pneumonia as a complication. All those who had undergone the placement of an epidural and were managed with non-invasive ventilation initially did not require invasive ventilation.

CONCLUSIONS: Chest trauma patients with chronic obstructive pulmonary disease are prone to develop ventilator-associated pneumonia which may be the source of increased mortality among such patients. Epidural placement reduces the risk of invasive ventilation if a patient can be managed with non-invasive ventilation.

Abstract

BACKGROUND: The outcome of chest trauma depends on many factors, one of which includes comorbidities. Nowadays, as the elderly population is on the rise, more and more trauma victims are being admitted with chronic obstructive pulmonary disease as a comorbidity in trauma centre intensive care units. However, there are hardly any studies describing the outcome of such patients with chest trauma and chronic obstructive pulmonary disease, both being respiratory problems.

The aim was to study the outcomes and various complications in patients of chest trauma with COPD admitted to our ICU over a given time period.

METHODS: A detailed review of charts of patients with chest trauma and chronic obstructive pulmonary disease admitted over one and a half years was performed and various parameters noted, including as follows: demographic data; various scores; the number of days on a ventilator and in the ICU. Moreover, complications, such as ventilator associated pneumonia, catheter related bloodstream infections, as well as outcomes, were noted.

RESULT: During the study period, 19 patients were admitted, out of which 4 died. The APACHE scores were higher for those who died and all had ventilator-associated pneumonia as a complication. All those who had undergone the placement of an epidural and were managed with non-invasive ventilation initially did not require invasive ventilation.

CONCLUSIONS: Chest trauma patients with chronic obstructive pulmonary disease are prone to develop ventilator-associated pneumonia which may be the source of increased mortality among such patients. Epidural placement reduces the risk of invasive ventilation if a patient can be managed with non-invasive ventilation.

Get Citation

Keywords

chronic obstructive pulmonary disease; trauma, chest trauma; trauma, complications; intensive care; ventilator associated pneumonia

About this article
Title

Outcome of patients of chest trauma suffering from chronic obstructive pulmonary disease — experience at level 1 trauma centre

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 48, No 3 (2016)

Pages

162-165

Published online

2016-06-01

DOI

10.5603/AIT.a2016.0031

Bibliographic record

Anaesthesiol Intensive Ther 2016;48(3):162-165.

Keywords

chronic obstructive pulmonary disease
trauma
chest trauma
trauma
complications
intensive care
ventilator associated pneumonia

Authors

Richa Aggarwal
Kapil Dev Soni
Amit Gupta
Subodh Kumar

Important: This website uses cookies.tanya dokter More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

VM Media sp. z o.o. VM Group sp.k., Grupa Via Medica, Świętokrzyska 73 St., 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl