Acute respiratory distress syndrome and outcomes after near hanging
Abstract Purpose The purpose of this study is to assess the case rate of acute respiratory distress syndrome (ARDS) after near hanging and the secondary outcomes of traumatic and/or anoxic brain injury and death. Risk factors for the outcomes were assessed. Method The method is a single-center, stat...
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| Veröffentlicht in: | The American journal of emergency medicine 2015-03, Vol.33 (3), p.359-362 |
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| creator | Mansoor, Sahar, MD Afshar, Majid, MD, MSCR Barrett, Matthew, DO, MSPT Smith, Gordon S., MB, ChB, MPH Barr, Erik A., BA Lissauer, Matthew E., MD McCurdy, Michael T., MD Murthi, Sarah B., MD Netzer, Giora, MD, MSCE |
| description | Abstract Purpose The purpose of this study is to assess the case rate of acute respiratory distress syndrome (ARDS) after near hanging and the secondary outcomes of traumatic and/or anoxic brain injury and death. Risk factors for the outcomes were assessed. Method The method is a single-center, statewide retrospective cohort study of consecutive patients admitted between August 2002 and September 2011, with a primary diagnosis of nonjudicial “hanging injury.” Results Of 56 patients, 73% were male. The median age was 31 (Interquartile range (IQR), 16-56). Upon arrival, 9% (5/56) did not have a pulse, and 23% (13/56) patients were intubated. The median Glasgow Coma Scale (GCS) was 13 (IQR, 3-15); 14% (8/56) had a GCS = 3. Acute respiratory distress syndrome developed in 9% (5/56) of patients. Traumatic anoxic brain injury resulted in 9% (5/56) of patients. The in-hospital case fatality was 5% (3/56). Lower median GCS (3 [IQR, 3-7] vs 14 [IQR, 3-15]; P = .0003) and intubation in field or in trauma resuscitation unit (100% [5/5] vs 16% [8/51]; P = .0003) were associated with ARDS development. Risk factors of death were GCS = 3 (100% [3/3] vs 9% [5/53]; P = .002), pulselessness upon arrival of emergency medical services (100% [3/3] vs 4% [2/53]; P < .001], and abnormal neurologic imaging (50% [1/2] vs zero; P = .04). Conclusions The ARDS case rate after near hanging is similar to the general trauma population. Low GCS and intubation are associated with increased risk of ARDS development. The rate of traumatic and/or anoxic brain injury in this population is low. |
| doi_str_mv | 10.1016/j.ajem.2014.12.001 |
| format | Article |
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Risk factors for the outcomes were assessed. Method The method is a single-center, statewide retrospective cohort study of consecutive patients admitted between August 2002 and September 2011, with a primary diagnosis of nonjudicial “hanging injury.” Results Of 56 patients, 73% were male. The median age was 31 (Interquartile range (IQR), 16-56). Upon arrival, 9% (5/56) did not have a pulse, and 23% (13/56) patients were intubated. The median Glasgow Coma Scale (GCS) was 13 (IQR, 3-15); 14% (8/56) had a GCS = 3. Acute respiratory distress syndrome developed in 9% (5/56) of patients. Traumatic anoxic brain injury resulted in 9% (5/56) of patients. The in-hospital case fatality was 5% (3/56). Lower median GCS (3 [IQR, 3-7] vs 14 [IQR, 3-15]; P = .0003) and intubation in field or in trauma resuscitation unit (100% [5/5] vs 16% [8/51]; P = .0003) were associated with ARDS development. Risk factors of death were GCS = 3 (100% [3/3] vs 9% [5/53]; P = .002), pulselessness upon arrival of emergency medical services (100% [3/3] vs 4% [2/53]; P < .001], and abnormal neurologic imaging (50% [1/2] vs zero; P = .04). Conclusions The ARDS case rate after near hanging is similar to the general trauma population. Low GCS and intubation are associated with increased risk of ARDS development. The rate of traumatic and/or anoxic brain injury in this population is low.</description><identifier>ISSN: 0735-6757</identifier><identifier>EISSN: 1532-8171</identifier><identifier>DOI: 10.1016/j.ajem.2014.12.001</identifier><identifier>PMID: 25596627</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Brain Injuries - etiology ; Cohort Studies ; Emergency ; Emergency medical care ; Emergency medical services ; Fatalities ; Female ; Glasgow Coma Scale ; Humans ; Hypoxia, Brain - etiology ; Injury Severity Score ; Male ; Middle Aged ; Respiratory diseases ; Respiratory distress syndrome ; Respiratory Distress Syndrome, Adult - etiology ; Retrospective Studies ; Risk Factors ; Suicide, Attempted ; Suicides & suicide attempts ; Young Adult</subject><ispartof>The American journal of emergency medicine, 2015-03, Vol.33 (3), p.359-362</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2015</rights><rights>2014 Elsevier Inc. All rights reserved 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c608t-6b36e0f80087d97da8d65b5e3dd86645e8f71a99680c8752bb95ec2a17212f2b3</citedby><cites>FETCH-LOGICAL-c608t-6b36e0f80087d97da8d65b5e3dd86645e8f71a99680c8752bb95ec2a17212f2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1667271259?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,3549,27923,27924,45994,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25596627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mansoor, Sahar, MD</creatorcontrib><creatorcontrib>Afshar, Majid, MD, MSCR</creatorcontrib><creatorcontrib>Barrett, Matthew, DO, MSPT</creatorcontrib><creatorcontrib>Smith, Gordon S., MB, ChB, MPH</creatorcontrib><creatorcontrib>Barr, Erik A., BA</creatorcontrib><creatorcontrib>Lissauer, Matthew E., MD</creatorcontrib><creatorcontrib>McCurdy, Michael T., MD</creatorcontrib><creatorcontrib>Murthi, Sarah B., MD</creatorcontrib><creatorcontrib>Netzer, Giora, MD, MSCE</creatorcontrib><title>Acute respiratory distress syndrome and outcomes after near hanging</title><title>The American journal of emergency medicine</title><addtitle>Am J Emerg Med</addtitle><description>Abstract Purpose The purpose of this study is to assess the case rate of acute respiratory distress syndrome (ARDS) after near hanging and the secondary outcomes of traumatic and/or anoxic brain injury and death. Risk factors for the outcomes were assessed. Method The method is a single-center, statewide retrospective cohort study of consecutive patients admitted between August 2002 and September 2011, with a primary diagnosis of nonjudicial “hanging injury.” Results Of 56 patients, 73% were male. The median age was 31 (Interquartile range (IQR), 16-56). Upon arrival, 9% (5/56) did not have a pulse, and 23% (13/56) patients were intubated. The median Glasgow Coma Scale (GCS) was 13 (IQR, 3-15); 14% (8/56) had a GCS = 3. Acute respiratory distress syndrome developed in 9% (5/56) of patients. Traumatic anoxic brain injury resulted in 9% (5/56) of patients. The in-hospital case fatality was 5% (3/56). Lower median GCS (3 [IQR, 3-7] vs 14 [IQR, 3-15]; P = .0003) and intubation in field or in trauma resuscitation unit (100% [5/5] vs 16% [8/51]; P = .0003) were associated with ARDS development. Risk factors of death were GCS = 3 (100% [3/3] vs 9% [5/53]; P = .002), pulselessness upon arrival of emergency medical services (100% [3/3] vs 4% [2/53]; P < .001], and abnormal neurologic imaging (50% [1/2] vs zero; P = .04). Conclusions The ARDS case rate after near hanging is similar to the general trauma population. Low GCS and intubation are associated with increased risk of ARDS development. The rate of traumatic and/or anoxic brain injury in this population is low.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brain Injuries - etiology</subject><subject>Cohort Studies</subject><subject>Emergency</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Fatalities</subject><subject>Female</subject><subject>Glasgow Coma Scale</subject><subject>Humans</subject><subject>Hypoxia, Brain - etiology</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Respiratory diseases</subject><subject>Respiratory distress syndrome</subject><subject>Respiratory Distress Syndrome, Adult - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Suicide, Attempted</subject><subject>Suicides & suicide attempts</subject><subject>Young Adult</subject><issn>0735-6757</issn><issn>1532-8171</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9ks1u1DAUhS0EokPhBVigSGzYJNhO_BMJVapGUCpV6qKwthz7ZuqQ2IOdVJq3x9GUFrroyrb8nSMfn4vQe4Irggn_PFR6gKmimDQVoRXG5AXaEFbTUhJBXqINFjUruWDiBL1JacgAaVjzGp1QxlrOqdig7blZZigipL2Leg7xUFiX5nxORTp4G8MEhfa2CMts8j4Vup8hFh50LG613zm_e4te9XpM8O5-PUU_v339sf1eXl1fXG7Pr0rDsZxL3tUccC8xlsK2wmppOesY1NZKzhsGshdEty2X2EjBaNe1DAzVRFBCe9rVp-js6LtfugmsAT9HPap9dJOOBxW0U__feHerduFONbVkjeDZ4NO9QQy_F0izmlwyMI7aQ1iSIpy3sm4YFxn9-AQdwhJ9jrdSggpCWZspeqRMDClF6B8eQ7BaO1KDWjtSa0eKUJUryKIP_8Z4kPwtJQNfjgDkz7xzEFUyDrwB6yKYWdngnvc_eyI3o_PO6PEXHCA95lApC9TNOiXrkJAmN9M2sv4DkYG32A</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Mansoor, Sahar, MD</creator><creator>Afshar, Majid, MD, MSCR</creator><creator>Barrett, Matthew, DO, MSPT</creator><creator>Smith, Gordon S., MB, ChB, MPH</creator><creator>Barr, Erik A., BA</creator><creator>Lissauer, Matthew E., MD</creator><creator>McCurdy, Michael T., MD</creator><creator>Murthi, Sarah B., MD</creator><creator>Netzer, Giora, MD, MSCE</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150301</creationdate><title>Acute respiratory distress syndrome and outcomes after near hanging</title><author>Mansoor, Sahar, MD ; Afshar, Majid, MD, MSCR ; Barrett, Matthew, DO, MSPT ; Smith, Gordon S., MB, ChB, MPH ; Barr, Erik A., BA ; Lissauer, Matthew E., MD ; McCurdy, Michael T., MD ; Murthi, Sarah B., MD ; Netzer, Giora, MD, MSCE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c608t-6b36e0f80087d97da8d65b5e3dd86645e8f71a99680c8752bb95ec2a17212f2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brain Injuries - etiology</topic><topic>Cohort Studies</topic><topic>Emergency</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Fatalities</topic><topic>Female</topic><topic>Glasgow Coma Scale</topic><topic>Humans</topic><topic>Hypoxia, Brain - etiology</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Respiratory diseases</topic><topic>Respiratory distress syndrome</topic><topic>Respiratory Distress Syndrome, Adult - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Suicide, Attempted</topic><topic>Suicides & suicide attempts</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mansoor, Sahar, MD</creatorcontrib><creatorcontrib>Afshar, Majid, MD, MSCR</creatorcontrib><creatorcontrib>Barrett, Matthew, DO, MSPT</creatorcontrib><creatorcontrib>Smith, Gordon S., MB, ChB, MPH</creatorcontrib><creatorcontrib>Barr, Erik A., BA</creatorcontrib><creatorcontrib>Lissauer, Matthew E., MD</creatorcontrib><creatorcontrib>McCurdy, Michael T., MD</creatorcontrib><creatorcontrib>Murthi, Sarah B., MD</creatorcontrib><creatorcontrib>Netzer, Giora, MD, MSCE</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mansoor, Sahar, MD</au><au>Afshar, Majid, MD, MSCR</au><au>Barrett, Matthew, DO, MSPT</au><au>Smith, Gordon S., MB, ChB, MPH</au><au>Barr, Erik A., BA</au><au>Lissauer, Matthew E., MD</au><au>McCurdy, Michael T., MD</au><au>Murthi, Sarah B., MD</au><au>Netzer, Giora, MD, MSCE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute respiratory distress syndrome and outcomes after near hanging</atitle><jtitle>The American journal of emergency medicine</jtitle><addtitle>Am J Emerg Med</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>33</volume><issue>3</issue><spage>359</spage><epage>362</epage><pages>359-362</pages><issn>0735-6757</issn><eissn>1532-8171</eissn><abstract>Abstract Purpose The purpose of this study is to assess the case rate of acute respiratory distress syndrome (ARDS) after near hanging and the secondary outcomes of traumatic and/or anoxic brain injury and death. Risk factors for the outcomes were assessed. Method The method is a single-center, statewide retrospective cohort study of consecutive patients admitted between August 2002 and September 2011, with a primary diagnosis of nonjudicial “hanging injury.” Results Of 56 patients, 73% were male. The median age was 31 (Interquartile range (IQR), 16-56). Upon arrival, 9% (5/56) did not have a pulse, and 23% (13/56) patients were intubated. The median Glasgow Coma Scale (GCS) was 13 (IQR, 3-15); 14% (8/56) had a GCS = 3. Acute respiratory distress syndrome developed in 9% (5/56) of patients. Traumatic anoxic brain injury resulted in 9% (5/56) of patients. The in-hospital case fatality was 5% (3/56). Lower median GCS (3 [IQR, 3-7] vs 14 [IQR, 3-15]; P = .0003) and intubation in field or in trauma resuscitation unit (100% [5/5] vs 16% [8/51]; P = .0003) were associated with ARDS development. Risk factors of death were GCS = 3 (100% [3/3] vs 9% [5/53]; P = .002), pulselessness upon arrival of emergency medical services (100% [3/3] vs 4% [2/53]; P < .001], and abnormal neurologic imaging (50% [1/2] vs zero; P = .04). Conclusions The ARDS case rate after near hanging is similar to the general trauma population. Low GCS and intubation are associated with increased risk of ARDS development. The rate of traumatic and/or anoxic brain injury in this population is low.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25596627</pmid><doi>10.1016/j.ajem.2014.12.001</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Brain Injuries - etiology Cohort Studies Emergency Emergency medical care Emergency medical services Fatalities Female Glasgow Coma Scale Humans Hypoxia, Brain - etiology Injury Severity Score Male Middle Aged Respiratory diseases Respiratory distress syndrome Respiratory Distress Syndrome, Adult - etiology Retrospective Studies Risk Factors Suicide, Attempted Suicides & suicide attempts Young Adult |
| title | Acute respiratory distress syndrome and outcomes after near hanging |
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