title: Predictors of pneumonia in trauma patients with pulmonary contusion.
abstract: The purpose of this article was to determine assessable risk levels for pneumonia in trauma patients with pulmonary contusion. A retrospective review and analysis of national trauma data of patients with pulmonary contusion were identified to develop a risk assessment model. Trauma data for 2007 were used to determine risk factors for subsequent complication of pneumonia in pulmonary contusion patients. Available patient comorbidities were considered in model development. Next, 2008 data were used to test and finalize model. Pneumonia risk was categorized into 3 ordinal levels, based on equal-sized proportions of pulmonary contusion patients. Significant risk factors for pneumonia included age, gender, pulse rate, systolic blood pressure, obesity, Glasgow Coma Scale motor score, and ventilation on admission. The final risk adjustment model had good fit and discrimination. Study analyses used more than 40 000 trauma patient data to devise assessable risk levels for pneumonia in pulmonary contusion diagnosed patients. Study data can assist in direction of care and triaging of urgent care patients at risk of pneumonia, possibly leading to mitigation and prevention of pneumonia in at risk patients. Further review of study outcomes should occur to fully understand applicability and usefulness in urgent settings.
authors.affiliation: Iowa Methodist Medical Center, 1415 Woodland Ave, Suite 218, Des Moines, IA 50309, USA. JanusTJ@ihs.org
authors.forename: Todd J
authors.initials: TJ
authors.lastname: Janus
authors.forename: Mary S
authors.initials: MS
authors.lastname: Vaughan-Sarrazin
authors.forename: Larry J
authors.initials: LJ
authors.lastname: Baker
authors.forename: Hayden L
authors.initials: HL
authors.lastname: Smith
mesh_terms: D055371:Acute Lung Injury / Q000150:complications* / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D019540:Area Under Curve; D003288:Contusions / Q000150:complications* / Q000175:diagnosis; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D015600:Glasgow Coma Scale; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis; D011014:Pneumonia / Q000453:epidemiology* / Q000209:etiology* / Q000503:physiopathology; D011237:Predictive Value of Tests; D012042:Registries; D012044:Regression Analysis; D012189:Retrospective Studies; D018570:Risk Assessment; D017678:Sex Distribution; D014193:Trauma Centers; D055815:Young Adult