Shock and acute respiratory failure after chest trauma
| Autor: | Robert F. Wilson, David R. Antonenko, Dennis B. Gibson |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Adult
Adolescent Thoracic Injuries Blood Pressure Wounds Penetrating Critical Care and Intensive Care Medicine Wounds Nonpenetrating medicine Humans Acute respiratory failure Complication rate Shock Traumatic General hospital Aged business.industry Mortality rate High mortality Age Factors Emergency department Middle Aged Respiratory failure Shock (circulatory) Anesthesia Surgery medicine.symptom business Respiratory Insufficiency |
| Zdroj: | The Journal of trauma. 17(9) |
| ISSN: | 0022-5282 |
| Popis: | Shock or acute respiratory failure developing soon after chest trauma are associated with extremely high mortality and morbidity rates. In a study of 1,136 patients with chest trauma admitted to Detroit General Hospital during a 2-year period (1974-1975), it was found that 218 (19%) had shock or acute respiratory failure when first seen in the Emergency Department. Of these patients, 36% (78/218) died and the survivors had a complication rate of 63% (88/140). Shock was associated with a mortality rate of 7.3% (7/96) but the combination of shock and respiratory failure was particularly lethal, with a mortality rate of 73.1% (57/78)overall. No patient over 45 years of age survived this combination. Efforts to improve results following chest trauma must be directed toward earlier and more aggressive management of both these problems |
| Databáze: | OpenAIRE |
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