Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2019
Pneumonia in severely injured patients with thoracic trauma: results of a retrospective observational multi-centre study.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Guidelines for Enhanced Recovery After Trauma and Intensive Care (ERATIC): Enhanced Recovery After Surgery (ERAS) and International Association for Trauma Surgery and Intensive Care (IATSIC) Society Recommendations: Paper 2: Postoperative and Intensive Care Recommendations.World journal of surgery · 2025Guideline
- Definitions of hospital-acquired pneumonia in trauma research: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Biomarkers for pneumonia after major trauma: A systematic review and meta-analysis.Journal of the Intensive Care Society · 2026Article
- Article
- Article
- POSTINJURY PNEUMONIA INDUCES A UNIQUE BLOOD MICROBIOME SIGNATURE.Shock (Augusta, Ga.) · 2024Article
- The impact of trauma relevant concentrations of prostaglandin EFrontiers in immunology · 2024Article
- Case series report: use of vibroacoustic pulmonary therapy in patients with thoracic trauma complicated by acute respiratory failure.Frontiers in medicine · 2024Article
- C-reactive protein in the early diagnosis of pneumonia complicating severe blunt chest trauma.La Tunisie medicale · 2023Article
- Effect of Injury Patterns on the Development of Complications and Trauma-Induced Mortality in Patients Suffering Multiple Trauma.Journal of clinical medicine · 2023Article
- The sequence of the treatment of combined fractures of the pelvis, spine, and extremities in polytraumatized patients.EFORT open reviews · 2023Review
- Predicting tracheostomy in multiple injured patients with severe thoracic injury (AIS ≥ 3) with the new TScientific reports · 2023Article
- Risk factors and outcomes of lower respiratory tract infections after traumatic brain injury: a retrospective observational study.Frontiers in medicine · 2023Article
- Early detection of gram-negative bacteria using metagenomic next-generation sequencing in acute respiratory distress syndrome: A case report.Experimental and therapeutic medicine · 2022Article
- Predicting pneumonia during hospitalization in flail chest patients using machine learning approaches.Frontiers in surgery · 2022Article
- Six-year national study of damage control laparotomy and the effect of repeat re-exploration on rate of infectious complications.Trauma surgery & acute care open · 2021Article
- Influence of Antibiotic Management on Microbial Selection and Infectious Complications After Trauma.Frontiers in medicine · 2021Article
- Association of antimicrobial use and incidence of hospital-acquired pneumonia in critically ill trauma patients with pulmonary contusion: an observational study.Brazilian journal of anesthesiology (Elsevier)Observational
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Authors and funding
13 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile the incidence and aspects of pneumonia in ICU patients has been extensively discussed in the literature, studies on the occurrence of pneumonia in severely injured patients are rare. The aim of the present study is to elucidate factors associated with the occurrence of pneumonia in severely injured patients with thoracic trauma.
settingLevel-I University Trauma Centres associated with the TraumaRegister DGU®.
methodsA total of 1162 severely injured adult patients with thoracic trauma documented in the TraumaRegister DGU® (TR-DGU) were included in this study. Demographic data, injury severity, duration of mechanical ventilation (MV), duration of ICU stay, occurrence of pneumonia, bronchoalveolar lavage, aspiration, pathogen details, and incidences of mortality were evaluated. Statistical evaluation was performed using SPSS (Version 25.0, SPSS, Inc.) software.
resultsThe overall incidence of pneumonia was 27.5%. Compared to patients without pneumonia, patients with pneumonia had sustained more severe injuries (mean ISS: 32.6 vs. 25.4), were older (mean age: 51.3 vs. 47.5) and spent longer periods under MV (mean: 368.9 h vs. 114.9 h). Age, sex (male), aspiration, and duration of MV were all independent predictors for pneumonia occurrence in a multivariate analysis. The cut-off point for duration of MV that best discriminated between patients who would and would not develop pneumonia during their hospital stay was 102 h. The extent of thoracic trauma (AIS
conclusionsLikelihood of pneumonia increases with age, aspiration, and duration of MV. These parameters were not found to be associated with differences in outcomes between patients with and without pneumonia. Future studies should focus on independent parameters to more clearly identify severely injured subgroups with a high risk of developing pneumonia. LEVEL OF EVIDENCE: Level II - Retrospective medical record review.
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