Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran
Introduction: Traumatic injuries can affect respiration both directly and indirectly. This study aimed to evaluate the predictive factors of need for mechanical ventilation (MV) following traumatic injuries. Methods: This Retrospective registry-based cross-sectional study comprised trauma patient...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2025-02-01
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| Series: | Archives of Academic Emergency Medicine |
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| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2511 |
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| author | Zahra Ramezani Vali Baigi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Reza Farahmand-Rad Akram Zolfaghari Sadrabad Seyed-Mohammad Piri Mahgol Sadat Hassan Zadeh Tabatabaei Khatereh Naghdi Payman Salamati |
| author_facet | Zahra Ramezani Vali Baigi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Reza Farahmand-Rad Akram Zolfaghari Sadrabad Seyed-Mohammad Piri Mahgol Sadat Hassan Zadeh Tabatabaei Khatereh Naghdi Payman Salamati |
| author_sort | Zahra Ramezani |
| collection | DOAJ |
| description |
Introduction: Traumatic injuries can affect respiration both directly and indirectly. This study aimed to evaluate the predictive factors of need for mechanical ventilation (MV) following traumatic injuries.
Methods: This Retrospective registry-based cross-sectional study comprised trauma patients admitted to a major referral trauma center in Iran, from March 28, 2019, to January 31, 2023, identified within the National Trauma Registry of Iran (NTRI). Logistic regression analysis was used to assess the association between demographic and clinical variables with the need for MV.
Results: A total of 2708 trauma patients with a mean age of 41.79 ± 21.84 (range:1-98) years were included (73.4% male). A total of 251 (9.3%) patients were admitted to the Intensive Care Unit (ICU); 113 (4.2%) experienced MV. The significant associated factors of need for MV based on the univariable analysis were age ≥ 65 years (p <0.001); penetrating trauma (p < 0.001) and falling (p = 0.01); private mode of transportation to ED (p < 0.001); site of injury (p < 0.001); heart rate ≥ 100/ minutes (p = 0.04); O2 saturation < 90 % on room air (p < 0.01); Glasgow Coma Scale (GCS) < 13 (p< 0.001); and injury Severity Score (ISS) ≥ 9 (p< 0.001). Based on the multivariate logistic regression analysis, the independent predictors of the need for MV in trauma patients were the site of injury (p < 0.001), GCS < 13 (p < 0.001), and ISS ≥ 9 (p < 0.001).
Conclusion: Based on the findings, ISS ≥ 9, GCS < 13, and site of injury were among the independent predictors of the need for MV following trauma.
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| format | Article |
| id | doaj-art-64b86736defb4ef296950edb3ad7aba0 |
| institution | Kabale University |
| issn | 2645-4904 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj-art-64b86736defb4ef296950edb3ad7aba02025-02-11T20:47:47ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042025-02-0113110.22037/aaemj.v13i1.2511Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in IranZahra Ramezani0Vali Baigi1Mohammadreza Zafarghandi2Vafa Rahimi-Movaghar3Reza Farahmand-Rad4Akram Zolfaghari Sadrabad5Seyed-Mohammad Piri6Mahgol Sadat Hassan Zadeh Tabatabaei7Khatereh Naghdi8Payman Salamati9Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.Clinical Research Development Center, Imam Ali and Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Science, Tehran, Iran.Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Introduction: Traumatic injuries can affect respiration both directly and indirectly. This study aimed to evaluate the predictive factors of need for mechanical ventilation (MV) following traumatic injuries. Methods: This Retrospective registry-based cross-sectional study comprised trauma patients admitted to a major referral trauma center in Iran, from March 28, 2019, to January 31, 2023, identified within the National Trauma Registry of Iran (NTRI). Logistic regression analysis was used to assess the association between demographic and clinical variables with the need for MV. Results: A total of 2708 trauma patients with a mean age of 41.79 ± 21.84 (range:1-98) years were included (73.4% male). A total of 251 (9.3%) patients were admitted to the Intensive Care Unit (ICU); 113 (4.2%) experienced MV. The significant associated factors of need for MV based on the univariable analysis were age ≥ 65 years (p <0.001); penetrating trauma (p < 0.001) and falling (p = 0.01); private mode of transportation to ED (p < 0.001); site of injury (p < 0.001); heart rate ≥ 100/ minutes (p = 0.04); O2 saturation < 90 % on room air (p < 0.01); Glasgow Coma Scale (GCS) < 13 (p< 0.001); and injury Severity Score (ISS) ≥ 9 (p< 0.001). Based on the multivariate logistic regression analysis, the independent predictors of the need for MV in trauma patients were the site of injury (p < 0.001), GCS < 13 (p < 0.001), and ISS ≥ 9 (p < 0.001). Conclusion: Based on the findings, ISS ≥ 9, GCS < 13, and site of injury were among the independent predictors of the need for MV following trauma. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2511Wounds and injuriesRegistriesRespirationAccidental fallsMedical records |
| spellingShingle | Zahra Ramezani Vali Baigi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Reza Farahmand-Rad Akram Zolfaghari Sadrabad Seyed-Mohammad Piri Mahgol Sadat Hassan Zadeh Tabatabaei Khatereh Naghdi Payman Salamati Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran Archives of Academic Emergency Medicine Wounds and injuries Registries Respiration Accidental falls Medical records |
| title | Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran |
| title_full | Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran |
| title_fullStr | Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran |
| title_full_unstemmed | Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran |
| title_short | Associated Factors of the Need for Mechanical Ventilation Following Traumatic Injuries; a Registry-Based Study on 2,708 Cases in Iran |
| title_sort | associated factors of the need for mechanical ventilation following traumatic injuries a registry based study on 2 708 cases in iran |
| topic | Wounds and injuries Registries Respiration Accidental falls Medical records |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2511 |
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