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The influence of race on the development of acute lung injury in trauma patients

Author:
Lisa M. Brown M.D.a      Richard H. Kallet M.S.   R.R.T.   F.C.C.M.b   Michael A. Matthay M.D.c  Rochelle A. Dicker M.D.a  


Journal:
The American Journal of Surgery


Issue Date:
2011


Abstract(summary):

Background

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are sequelae of severe trauma. It is unknown if certain races are at greater risk of developing ALI/ARDS, and once established, if there are racial differences in the severity of lung injury or mortality.

Methods

Retrospective cohort study of 4,397 trauma patients (1,831 Caucasians, 871 African-Americans, 886 Hispanics, and 809 Asian/Pacific Islanders) requiring intensive care unit (ICU) admission between 1996 and 2007 at an urban Level I trauma center.

Results

African-American patients were most likely to present in shock with penetrating trauma and receive a massive transfusion. The incidence of ALI/ARDS was similar by race (P = .99). Among patients who developed ALI/ARDS, there was no evidence to support a difference in partial pressure of oxygen in arterial blood to fraction of inspired oxygen (Pao2/Fio2) (P = .33), lung injury score (P = .67), or mortality (P = .78) by race.

Conclusions

Despite differences in baseline characteristics, the incidence of ALI/ARDS, severity of lung injury, and mortality were similar by race.



Page:
486-491


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