Lefaivre et al identified risk factors associated with the adult respiratory distress syndrome (ARDS) occurring in a trauma patient. These can help to identify a patient who may benefit from more aggressive management. The authors are from the University of British Columbia, University of Texas Southwestern Medical Center, University of Colorado and Geisinger Clinic.
Parameters included in the logistic regression model:
(1) Glasgow coma score (GCS)
(2) femur fracture
(3) gender
(4) AIS abdominal
(5) AIS chest
(6) AIS extremity
(7) AIS face
(8) AIS head and neck
Parameter
Odds Ratio
Reference
GCS
4.24 if <= 8
1 if > 8
femur fracture
2.13
1 if absent
gender
1.41 if male
1 if female
AIS abdominal
1.35 per AIS unit
1 if absent
AIS chest
1.31 per AIS unit
1 if absent
AIS extremity
1.12 per AIS unit
1 if absent
AIS face
1.19 per AIS unit
1 if absent
AIS head and neck
1.10 per AIS unit
1 if absent
Additional factors associated with an increased risk of ARDS:
(1) acetabular fracture
(2) not repairing a femoral fracture in the 8 to 24 hour interval following injury (greater risk if > 24 hours)
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