Timing of intubation and ventilator-associated pneumonia following injury

Heather L. Evans, David Zonies, Keir J. Warner, Eileen M. Bulger, Sam R. Sharar, Ronald V. Maier, Joseph Cuschieri

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Hypothesis: In an emergency medical system with established rapid-sequence intubation protocols, prehospital (PH) intubation of patients with trauma is not associated with a higher rate of ventilator-associated pneumonia (VAP) than emergency department (ED) intubation. Design: Retrospective observational cohort. Setting: Level I trauma center. Patients: Adult patients with trauma intubated in a PH or an ED setting from July 1, 2007, through July 31, 2008. Main Outcome Measures: Diagnosis of VAP by means of bronchoscopic alveolar lavage or clinical assessment when bronchoscopic alveolar lavage was impossible. Secondary outcomes included time to VAP, length of hospitalization, and in-hospital mortality. Results: Of 572 patients, 412 (72.0%) underwent PH intubation. The ED group was older than the PH group (mean ages, 46.4 vs 39.1 years; P

Original languageEnglish (US)
Pages (from-to)1041-1046
Number of pages6
JournalArchives of Surgery
Volume145
Issue number11
DOIs
Publication statusPublished - Nov 2010
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

Cite this

Evans, H. L., Zonies, D., Warner, K. J., Bulger, E. M., Sharar, S. R., Maier, R. V., & Cuschieri, J. (2010). Timing of intubation and ventilator-associated pneumonia following injury. Archives of Surgery, 145(11), 1041-1046. https://doi.org/10.1001/archsurg.2010.239