Epidemiological characteristics of mechanically ventilated adult trauma patients
A retrospective cohort.
Abstract
Objective: To describe prevalence and epidemiological characteristics of adult patients admitted to the Intensive Care Unit of a Acute General Hospital of the Ciudad Autónoma de Buenos Aires (CABA) with Invasive Mechanical Ventilation (IMV) requirement due to Acute Respiratory Failure (ARF) secondary to trauma, to compare them with patients whith IMV requirement due to ARF secondary to other causes than trauma and to assess the association between trauma and mortality in the ICU.
Materials and method: Retrospective cohort study. We included patients older than 18 years admitted to the ICU from July 1st, 2013 to December 31st, 2018, with a IMV requirement secondary to ARF for at least 12 hours.
Results: Prevalence of ARF secondary to trauma was 19.17%, with an age of 29 years (RIQ 23-37). 89.60% were men. There were no significant differences in temporal variables between both groups. Ventilator associated pneumonia predominated in the trauma group with statistically significant differences. In this group, mortality in the ICU was 29.60% and hospital mortality was 34.15%. The multivariate analysis showed no association between trauma and mortality in the ICU. Age was a confounder on this relationship.
Conclusion: ARF secondary to trauma was highly prevalent. No association was found between patients with a IMV requirement due to ARF secondary to trauma and mortality in the ICU.
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