Lydia C Rewerts, L. Stuke, John P. Hunt, Alan B Marr, J. Schoen, P. Greiffenstein, Alison A Smith
{"title":"Risk Factors for Empyema Following Penetrating Diaphragmatic Injuries.","authors":"Lydia C Rewerts, L. Stuke, John P. Hunt, Alan B Marr, J. Schoen, P. Greiffenstein, Alison A Smith","doi":"10.1177/00031348241248700","DOIUrl":null,"url":null,"abstract":"Empyema resulting as a complication of penetrating diaphragmatic injuries is a subject that requires further investigation, and the aim of this study was to determine the risk factors associated with empyema in patients with penetrating trauma. Consecutive adult trauma patients from a level 1 trauma center were searched for penetrating diaphragm injuries. Data were collected on patient demographics, pre-existing conditions, injury type and severity, hospital interventions, in-hospital complications, and outcomes. Patients were stratified by empyema formation and univariant analyses were performed. 164 patients were identified, and 17 patients (10.4%) developed empyema. Empyema was associated with visible abdominal contamination (35.3% vs 15%, P = .04), thoracotomy (35.5% vs 13.6%, P = .03), pneumonia (41.2% vs 14.3%, P = .01), sepsis (35.3% vs 8.8%, P = .006), increased hospital length of stay (25.5 vs 10.1 days, p =<.001), increased intensive care unit length of stay (9.6 vs 4.3 days, P = .01), and decreased in-hospital mortality (0% vs 20.4%, P = .04).","PeriodicalId":325363,"journal":{"name":"The American Surgeon","volume":" 1017","pages":"31348241248700"},"PeriodicalIF":0.0000,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The American Surgeon","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/00031348241248700","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Empyema resulting as a complication of penetrating diaphragmatic injuries is a subject that requires further investigation, and the aim of this study was to determine the risk factors associated with empyema in patients with penetrating trauma. Consecutive adult trauma patients from a level 1 trauma center were searched for penetrating diaphragm injuries. Data were collected on patient demographics, pre-existing conditions, injury type and severity, hospital interventions, in-hospital complications, and outcomes. Patients were stratified by empyema formation and univariant analyses were performed. 164 patients were identified, and 17 patients (10.4%) developed empyema. Empyema was associated with visible abdominal contamination (35.3% vs 15%, P = .04), thoracotomy (35.5% vs 13.6%, P = .03), pneumonia (41.2% vs 14.3%, P = .01), sepsis (35.3% vs 8.8%, P = .006), increased hospital length of stay (25.5 vs 10.1 days, p =<.001), increased intensive care unit length of stay (9.6 vs 4.3 days, P = .01), and decreased in-hospital mortality (0% vs 20.4%, P = .04).
作为穿透性膈肌损伤的并发症而导致的肺水肿是一个需要进一步研究的课题，本研究旨在确定穿透性创伤患者出现肺水肿的相关风险因素。研究人员对一级创伤中心的连续成年创伤患者进行了穿透性膈肌损伤检索。收集的数据包括患者的人口统计学特征、原有病症、损伤类型和严重程度、医院干预措施、院内并发症以及治疗结果。根据肺水肿的形成对患者进行分层，并进行单变量分析。结果发现，164 名患者中有 17 名（10.4%）出现了肺水肿。气肿与可见腹腔污染（35.3% vs 15%，P = .04）、开胸手术（35.5% vs 13.6%，P = .03）、肺炎（41.2% vs 14.3%，P = .01）、败血症（35.3% vs 8.8%，P = .006）、住院时间延长（25.5 天 vs 10.1 天，P =<.001）、重症监护室住院时间延长（9.6 天 vs 4.3 天，P = .01）、院内死亡率降低（0% vs 20.4%，P = .04）。
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