TY - JOUR
T1 - Infectious complications of noncombat trauma patients provided care at a military trauma center
AU - Yun, Heather C.
AU - Blackbourne, Lorne H.
AU - Jones, John A.
AU - Holcomb, John B.
AU - Hospenthal, Duane R.
AU - Wolf, Steven E.
AU - Renz, M.
AU - Murray, Clinton K.
PY - 2010/5
Y1 - 2010/5
N2 - Infectious complications are reported frequently in combat trauma patients treated at military hospitals. Infections in 4566 noncombat related trauma patients treated at a military trauma center were retrospectively reviewed from 1/2003 to 5/2007 using registry data. Burns, penetrating, and blunt trauma accounted for 17%, 19%, and 64%, respectively; the median age was 38 and 22% were female. Pulmonary infections were present in 4.2% of patients, 2.4% had cellulitis and wound infections, 2.2% urinary infections, and 0.7% sepsis. On univariate analysis, infected patients were more likely to be admitted to the ICU, have longer ICU and hospital lengths of stay (LOS), and to die ( p<0.05). Multivariate analysis revealed associations between infection and hospital LOS, preexisting medical conditions, and lower Glasgow Coma Scale in nonburned patients. In burned patients, infection was associated with total body surface area burned and preexisting conditions ( p<0.01). Enhanced infection control in targeted trauma populations may improve outcomes.
AB - Infectious complications are reported frequently in combat trauma patients treated at military hospitals. Infections in 4566 noncombat related trauma patients treated at a military trauma center were retrospectively reviewed from 1/2003 to 5/2007 using registry data. Burns, penetrating, and blunt trauma accounted for 17%, 19%, and 64%, respectively; the median age was 38 and 22% were female. Pulmonary infections were present in 4.2% of patients, 2.4% had cellulitis and wound infections, 2.2% urinary infections, and 0.7% sepsis. On univariate analysis, infected patients were more likely to be admitted to the ICU, have longer ICU and hospital lengths of stay (LOS), and to die ( p<0.05). Multivariate analysis revealed associations between infection and hospital LOS, preexisting medical conditions, and lower Glasgow Coma Scale in nonburned patients. In burned patients, infection was associated with total body surface area burned and preexisting conditions ( p<0.01). Enhanced infection control in targeted trauma populations may improve outcomes.
UR - http://www.scopus.com/inward/record.url?scp=77953283408&partnerID=8YFLogxK
U2 - 10.7205/MILMED-D-09-00098
DO - 10.7205/MILMED-D-09-00098
M3 - Article
C2 - 20486502
AN - SCOPUS:77953283408
SN - 0026-4075
VL - 175
SP - 317
EP - 323
JO - Military Medicine
JF - Military Medicine
IS - 5
ER -