ArticleJournal of emergencies, trauma, and shock2013
Ventilator-associated pneumonia in trauma patients with open tracheotomy: Predictive factors and prognosis impact.
Article in Journal of emergencies, trauma, and shock, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 10 citations in OpenAlex.
- [Risk factors for ventilator-associated pneumonia in patients with chest trauma in intensive care unit].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- Early Versus Late Tracheostomy in Critically Injured Burn Survivors: A National, Multi-Database Analysis.Journal of burn care & research : official publication of the American Burn Association · 2025Article
- Ventilator-associated pneumonia: present understanding and ongoing debates.Intensive care medicine · 2015Review
- Hospital-acquired pneumonia pattern in the intensive care units of a governmental hospital: A prospective longitudinal study.Annals of African medicineArticle
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the predictive factors of ventilator associated pneumonia (VAP) occurrence following open tracheotomy in trauma patients. MATERIALS AND
methodsWe conducted an observational, prospective study over 15 months, between 01/08/2010 and 30/11/2011. All trauma patients (except those with cervical spine trauma), older than 15 years, undergoing open tracheotomy during their ICU stay were included. All episode of VAP following tracheotomy were recorded. Predictive factor of VAP onset were studied.
resultsWe included 106 patients. Mean age was 37.9 ± 15.5 years. Mean Glasgow coma Scale (GCS) was 8.5 ± 3.7 and mean Injury Severity Score (ISS) was 53.1 ± 23.8. Tracheotomy was performed for 53 patients (50%) because of prolonged ventilation whereas 83 patients (78.3%) had tracheotomy because of projected long mechanical ventilation. Tracheotomy was performed within 8.6 ± 5.3 days. Immediate complications were bleeding events (22.6%) and barotrauma (0.9%). Late complications were stomal infection (28.3%) and VAP (52.8%). In multivariate analysis, independent factors predicting VAP onset were delayed tracheotomy (OR = 0.041; CI95% [1.02-7.87]; P = 0.041) and stomal infection (OR = 3.04; CI95% [1.02-9.93]; P = 0.045). Thirty three patients died in ICU (31.1%) without significant impact of VAP on mortality.
conclusionLate tracheotomy and stomal infection are independent factors predicting VAP onset after open tracheotomy in trauma patients. The occurrence of VAP prolongers mechanical ventilation duration and intensive care unit (ICU) length of stay (LOS) but doesn't increase mortality.
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