Do simple beside lung function tests predict morbidity after rib fractures?
| Autor: | Vicente Cortes, Abby McCall, John Joseph Brady, Laura Castor, John Patch, Sara Wilhelm, Adrian W. Ong, Christopher A. Butts, Pamela Jones, Alicia Sherwood |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Rib Fractures Point-of-Care Systems Peak Expiratory Flow Rate Thoracostomy Pulmonary function testing Positive-Pressure Respiration 03 medical and health sciences 0302 clinical medicine Primary outcome Internal medicine Intubation Intratracheal Humans Medicine Acute respiratory failure In patient Prospective Studies Positive pressure ventilation Aged Aged 80 and over Incentive spirometry business.industry 030208 emergency & critical care medicine General Medicine Middle Aged Surgery 030228 respiratory system Spirometry Acute Disease Linear Models Cardiology Female Respiratory Insufficiency business |
| Zdroj: | The American Journal of Surgery. 213:473-477 |
| ISSN: | 0002-9610 |
| Popis: | We evaluated if incentive spirometry volume (ISV) and peak expiratory flow rate (PEFR) could predict acute respiratory failure (ARF) in patients with rib fractures.Normotensive, co-operative patients were enrolled prospectively. ISV and PEFR were measured on admission, at 24 h and at 48 h by taking the best of three readings each time. The primary outcome, ARF, was defined as requiring invasive or noninvasive positive pressure ventilation.99 patients were enrolled (median age, 77 years). ARF occurred in 9%. Of the lung function tests, only a low median ISV at admission was associated with ARF (500 ml vs 1250 ml, p = 0.04). Three of 69 patients with ISV of ≥1000 ml versus six of 30 with ISV1000 ml developed ARF (p = 0.01). Other significant factors were: number of rib fractures, tube thoracostomy, any lower-third rib fracture, flail segment.PEFR did not predict ARF. Admission ISV may have value in predicting ARF. |
| Databáze: | OpenAIRE |
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