Abstract：
INTRODUCTION:Thoracic trauma is often associated with polytrauma. Because mortality is high, the search for prognostic tools is useful. PATIENTS AND METHODS:A total of 108 patients with blunt thoracic trauma, 73 of whom had multiple injuries, were studied in an intensive care unit (ICU). The variables named as potential predictors of outcome were the need for mechanical ventilation, duration of ventilation, and high positive end-expiratory pressure (PEEP); the presence of rib fractures, pulmonary contusion, pleural involvement (hemo- and/or pneumothorax), or lung infection; the need for emergency surgery; mean duration of ICU stay, and age. We also studied whether or not the mortality rate was higher in polytrauma patients. Student t and chi2 tests (95% confidence level) and multiple regression analysis (Hosmer-Lemeshow goodness of fit) were used to analyze the results. RESULTS:The need for mechanical ventilation, radiographic evidence of pulmonary contusion, emergency surgery, and hemodynamic instability were risk factors for increased mortality. Higher risk of mortality was not demonstrated for patients with multiple injuries. For patients in need of mechanical ventilation, high PEEP was a predictor of poor prognosis. CONCLUSIONS:The presence of the aforementioned predictors (mechanical ventilation, high PEEP, pulmonary contusion, emergency surgery, and hemodynamic instability) indicate serious injury to the lung parenchyma, which is the main determinant of outcome for patients with thoracic trauma.
journal_name
Arch Bronconeumoljournal_title
Archivos de bronconeumologiaauthors
Virgós Señor B,Nebra Puertas AC,Sánchez Polo C,Broto Civera A,Suárez Pinilla MAkeywords:
subject
Has Abstractpub_date
2004-11-01 00:00:00pages
489-94issue
11eissn
0300-2896issn
1579-2129pii
13067569journal_volume
40pub_type
杂志文章abstract：OBJECTIVE:PLATINO project is a population-based study designed to determine the prevalence of chronic obstructive pulmonary disease (COPD) in São Paulo, Brazil; Mexico City, Mexico; Montevideo, Uruguay; Santiago de Chile, Chile; and Caracas, Venezuela. The objective of this portion of PLATINO was to describe preventive...
journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,多中心研究
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更新日期：2008-02-01 00:00:00
abstract：:The use of novel tobacco products, particularly the electronic cigarette (EC) and partial tobacco combustion devices (HnB systems: Heat not Burn), has increased exponentially, particularly among adolescents and young people. The health authorities and scientific societies have shown concern about issues surrounding sa...
journal_title：Archivos de bronconeumologia
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journal_title：Archivos de bronconeumologia
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abstract：:Patient cooperation in controlling asthma is a key element for achieving the most efficient therapy possible according to current guidelines. Cooperation requires that the patient be adequately informed about his disease and able to make certain decisions. The aim of this study was to analyze whether patients really d...
journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,多中心研究
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更新日期：1999-10-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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更新日期：2013-04-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
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pub_type： 杂志文章
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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更新日期：2005-02-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,评审
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更新日期：2009-01-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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更新日期：2004-02-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/j.arbres.2012.02.020
更新日期：2013-02-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/s0300-2896(03)75337-x
更新日期：2003-03-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/s1579-2129(06)60418-7
更新日期：2005-03-01 00:00:00
abstract：INTRODUCTION:Ergospirometry objectively quantifies exercise capacity. Up until now, the response to exercise evaluated by ergospirometry in patients with pulmonary arterial hypertension has only been described in recently diagnosed.patients. Our aim is to describe the response to exercise in patients with severe pulmon...
journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/j.arbres.2010.07.013
更新日期：2011-01-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/j.arbres.2014.02.016
更新日期：2014-10-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/j.arbres.2012.08.002
更新日期：2013-05-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.arbres.2020.04.014
更新日期：2021-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s1579-2129(08)60051-8
更新日期：2008-06-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,多中心研究
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更新日期：2010-07-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
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更新日期：2008-01-01 00:00:00
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更新日期：2006-12-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/s0300-2896(15)30997-2
更新日期：1994-12-01 00:00:00
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doi：
更新日期：1996-08-01 00:00:00
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journal_title：Archivos de bronconeumologia
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doi：
更新日期：2006-10-01 00:00:00
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journal_title：Archivos de bronconeumologia
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doi：10.1016/j.arbres.2013.05.007
更新日期：2014-02-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2003-12-01 00:00:00
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更新日期：2007-06-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章,评审
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更新日期：2006-01-01 00:00:00
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journal_title：Archivos de bronconeumologia
pub_type： 杂志文章
doi：10.1016/s0300-2896(03)75329-0
更新日期：2003-02-01 00:00:00
