Prehospital intubation of the moderately injured patient: a cause of morbidity? A matched-pairs analysis of 1,200 patients from the DGU ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-10

AUTHORS

Bjoern Hussmann, Rolf Lefering, Christian Waydhas, Steffen Ruchholtz, Arasch Wafaisade, Max Daniel Kauther, Sven Lendemans

ABSTRACT

INTRODUCTION: Hypoxia and hypoxemia can lead to an unfavorable outcome after severe trauma, by both direct and delayed mechanisms. Prehospital intubation is meant to ensure pulmonary gas exchange. Limited evidence exists regarding indications for intubation after trauma. The aim of this study was to analyze prehospital intubation as an independent risk factor for the posttraumatic course of moderately injured patients. Therefore, only patients who, in retrospect, would not have required intubation were included in the matched-pairs analysis to evaluate the risks related to intubation. METHODS: The data of 42,248 patients taken from the trauma registry of the German Association for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie (DGU)) were analyzed. Patients who met the following criteria were included: primary admission to a hospital; Glasgow Coma Scale (GCS) of 13 to 15; age 16 years or older; maximum injury severity per body region (AIS) ≤ 3; no administration of packed red blood cell units in the emergency trauma room; admission between 2005 and 2008; and documented data regarding intubation. The intubated patients were then matched with not-intubated patients. RESULTS: The study population included 600 matched pairs that met the inclusion criteria. The results indicated that prehospital intubation was associated with a prolonged rescue time (not intubated, 64.8 minutes; intubated, 82.3 minutes; P ≤ 0.001) and a higher volume replacement (not intubated, 911.3 ml; intubated, 1,573.8 ml; P ≤ 0.001). In the intubated patients, coagulation parameters, such as the prothrombin time ratio (PT) and platelet count, declined, as did the hemoglobin value (PT not intubated: 92.3%; intubated, 85.7%; P ≤ 0.001; hemoglobin not intubated, 13.4 mg/dl; intubated, 12.2 mg/dl; P ≤ 0.001). Intubation at the scene resulted in an elevated sepsis rate (not intubated, 1.5%; intubated, 3.7%; P ≤ 0.02) and an elevated prevalence of multiorgan failure (MOF) and organ failure (OF) (OF not intubated, 9.1%; intubated, 23.4%; P ≤ 0.001). CONCLUSIONS: Prehospital intubation in trauma patients is associated with a number of risks and should be critically weighed, except in cases with clear indicators, such as posttraumatic apnea. More... »

PAGES

r207

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/cc10442

DOI

http://dx.doi.org/10.1186/cc10442

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032944546

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21914175


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Emergency Medical Services", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Germany", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Intubation, Intratracheal", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Matched-Pair Analysis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Morbidity", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Multiple Organ Failure", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Registries", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Risk Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sepsis", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Trauma Severity Indices", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Wounds and Injuries", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Young Adult", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Essen University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.410718.b", 
          "name": [
            "Trauma Surgery Department, University Hospital Essen, Hufelandstra\u00dfe 55, 45122, Essen, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hussmann", 
        "givenName": "Bjoern", 
        "id": "sg:person.0665525420.56", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0665525420.56"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Witten/Herdecke University", 
          "id": "https://www.grid.ac/institutes/grid.412581.b", 
          "name": [
            "Institute for Research in Operative Medicine (IFOM), Faculty of Medicine, Witten/Herdecke University GmbH, Cologne Merheim Medical Center, Ostmerheimer Stra\u00dfe 200, 51109, Cologne, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lefering", 
        "givenName": "Rolf", 
        "id": "sg:person.01243655235.36", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01243655235.36"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Essen University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.410718.b", 
          "name": [
            "Trauma Surgery Department, University Hospital Essen, Hufelandstra\u00dfe 55, 45122, Essen, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Waydhas", 
        "givenName": "Christian", 
        "id": "sg:person.065766363.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.065766363.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Universit\u00e4tsklinikum Gie\u00dfen und Marburg", 
          "id": "https://www.grid.ac/institutes/grid.411067.5", 
          "name": [
            "Trauma Department, Hand and Reconstructive Surgery Unit, University Hospital Marburg, Baldingerstra\u00dfe, 35043, Marburg, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ruchholtz", 
        "givenName": "Steffen", 
        "id": "sg:person.01243445550.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01243445550.68"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Witten/Herdecke University", 
          "id": "https://www.grid.ac/institutes/grid.412581.b", 
          "name": [
            "Institute for Research in Operative Medicine (IFOM), Faculty of Medicine, Witten/Herdecke University GmbH, Cologne Merheim Medical Center, Ostmerheimer Stra\u00dfe 200, 51109, Cologne, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wafaisade", 
        "givenName": "Arasch", 
        "id": "sg:person.01116202420.50", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01116202420.50"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Essen University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.410718.b", 
          "name": [
            "Trauma Surgery Department, University Hospital Essen, Hufelandstra\u00dfe 55, 45122, Essen, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kauther", 
        "givenName": "Max Daniel", 
        "id": "sg:person.01164315620.41", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01164315620.41"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Essen University Hospital", 
          "id": "https://www.grid.ac/institutes/grid.410718.b", 
          "name": [
            "Trauma Surgery Department, University Hospital Essen, Hufelandstra\u00dfe 55, 45122, Essen, Germany"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lendemans", 
        "givenName": "Sven", 
        "id": "sg:person.0645573012.58", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0645573012.58"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1016/j.jclinane.2004.01.007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004015782"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00113-010-1842-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004327376", 
          "https://doi.org/10.1007/s00113-010-1842-4"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0885066607301359", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008913719"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0885066607301359", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008913719"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000083335.93868.2c", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009949093"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000083335.93868.2c", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009949093"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e3181dc6c7f", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015180683"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e3181dc6c7f", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015180683"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e3181dc6c7f", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1015180683"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-200206000-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018428349"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-200206000-00020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018428349"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199107000-00024", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023851977"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199107000-00024", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023851977"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00003246-199107000-00024", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023851977"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e3181efc15f", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027919870"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e3181efc15f", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027919870"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0b013e3181efc15f", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027919870"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0885066607299525", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028345703"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/0885066607299525", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028345703"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000069184.82147.06", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028878571"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000069184.82147.06", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1028878571"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000037876.37236.d6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030377627"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.ta.0000037876.37236.d6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030377627"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00001503-200004000-00023", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1031119230"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e318191bb0c", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040353926"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e318191bb0c", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040353926"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e31805d8f6b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048193711"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e31805d8f6b", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048193711"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-200205000-00010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048728966"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00005373-200205000-00010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048728966"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e3181dcd137", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050058751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e3181dcd137", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050058751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/ta.0b013e3181dcd137", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050058751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000542-199502000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051779117"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000542-199502000-00007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051779117"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf01709751", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052044737", 
          "https://doi.org/10.1007/bf01709751"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf01709751", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052044737", 
          "https://doi.org/10.1007/bf01709751"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2011-10", 
    "datePublishedReg": "2011-10-01", 
    "description": "INTRODUCTION: Hypoxia and hypoxemia can lead to an unfavorable outcome after severe trauma, by both direct and delayed mechanisms. Prehospital intubation is meant to ensure pulmonary gas exchange. Limited evidence exists regarding indications for intubation after trauma. The aim of this study was to analyze prehospital intubation as an independent risk factor for the posttraumatic course of moderately injured patients. Therefore, only patients who, in retrospect, would not have required intubation were included in the matched-pairs analysis to evaluate the risks related to intubation.\nMETHODS: The data of 42,248 patients taken from the trauma registry of the German Association for Trauma Surgery (Deutsche Gesellschaft f\u00fcr Unfallchirurgie (DGU)) were analyzed. Patients who met the following criteria were included: primary admission to a hospital; Glasgow Coma Scale (GCS) of 13 to 15; age 16 years or older; maximum injury severity per body region (AIS) \u2264 3; no administration of packed red blood cell units in the emergency trauma room; admission between 2005 and 2008; and documented data regarding intubation. The intubated patients were then matched with not-intubated patients.\nRESULTS: The study population included 600 matched pairs that met the inclusion criteria. The results indicated that prehospital intubation was associated with a prolonged rescue time (not intubated, 64.8 minutes; intubated, 82.3 minutes; P \u2264 0.001) and a higher volume replacement (not intubated, 911.3 ml; intubated, 1,573.8 ml; P \u2264 0.001). In the intubated patients, coagulation parameters, such as the prothrombin time ratio (PT) and platelet count, declined, as did the hemoglobin value (PT not intubated: 92.3%; intubated, 85.7%; P \u2264 0.001; hemoglobin not intubated, 13.4 mg/dl; intubated, 12.2 mg/dl; P \u2264 0.001). Intubation at the scene resulted in an elevated sepsis rate (not intubated, 1.5%; intubated, 3.7%; P \u2264 0.02) and an elevated prevalence of multiorgan failure (MOF) and organ failure (OF) (OF not intubated, 9.1%; intubated, 23.4%; P \u2264 0.001).\nCONCLUSIONS: Prehospital intubation in trauma patients is associated with a number of risks and should be critically weighed, except in cases with clear indicators, such as posttraumatic apnea.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/cc10442", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1117766", 
        "issn": [
          "1364-8535", 
          "1466-609X"
        ], 
        "name": "Critical Care", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "5", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "15"
      }
    ], 
    "name": "Prehospital intubation of the moderately injured patient: a cause of morbidity? A matched-pairs analysis of 1,200 patients from the DGU Trauma Registry", 
    "pagination": "r207", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "9cf1885f7a1c9a1c53165855f2c05341e8f9bcacad42898278555d27950c5594"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "21914175"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "9801902"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/cc10442"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1032944546"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/cc10442", 
      "https://app.dimensions.ai/details/publication/pub.1032944546"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T01:12", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8697_00000537.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1186%2Fcc10442"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/cc10442'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/cc10442'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/cc10442'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/cc10442'


 

This table displays all metadata directly associated to this object as RDF triples.

245 TRIPLES      21 PREDICATES      65 URIs      39 LITERALS      27 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/cc10442 schema:about N09e2a98a860745f8a50a9e3f67271ecf
2 N21bd2c53c2f64e829073448ebac1c4e1
3 N22332b93d1e54dc08bd52db978cca5cd
4 N2ac67dac906142638abd34c2f2ecdf9c
5 N481375e74fdf47b9a8cc4300915e0482
6 N51f5d56c2bfc41d8879fd20dcbff9223
7 N961e7ac374154fd4b1211af9f3952829
8 Na0f1cece0d9e4e60855c710ed8c8b25f
9 Na162429fc2f3479f816f704571b4ef26
10 Na3a860e4d60a411ba3e541a61f2abbcd
11 Nae8786c140ad490ca7ec602aeaa26c53
12 Nb3fc2d5eaad944f8a8ce834177519795
13 Nbfa880368e80479a8c4241e08e89ca0d
14 Ncd5d1e69ab0a4e10a42ca23e0393ff45
15 Ne652e452570f44508954280c813f7a8c
16 Nee1140fa68e74e4dbc71edf97c48fbf0
17 Nfb6722bc9f984f7c8514b4dea835710a
18 Nfc8c522f2b1d46189b1587884d350340
19 anzsrc-for:11
20 anzsrc-for:1103
21 schema:author Nbce208973566417fb3a956774def8d2b
22 schema:citation sg:pub.10.1007/bf01709751
23 sg:pub.10.1007/s00113-010-1842-4
24 https://doi.org/10.1016/j.jclinane.2004.01.007
25 https://doi.org/10.1097/00000542-199502000-00007
26 https://doi.org/10.1097/00001503-200004000-00023
27 https://doi.org/10.1097/00003246-199107000-00024
28 https://doi.org/10.1097/00005373-200205000-00010
29 https://doi.org/10.1097/00005373-200206000-00020
30 https://doi.org/10.1097/01.ta.0000037876.37236.d6
31 https://doi.org/10.1097/01.ta.0000069184.82147.06
32 https://doi.org/10.1097/01.ta.0000083335.93868.2c
33 https://doi.org/10.1097/sla.0b013e3181efc15f
34 https://doi.org/10.1097/ta.0b013e31805d8f6b
35 https://doi.org/10.1097/ta.0b013e318191bb0c
36 https://doi.org/10.1097/ta.0b013e3181dc6c7f
37 https://doi.org/10.1097/ta.0b013e3181dcd137
38 https://doi.org/10.1177/0885066607299525
39 https://doi.org/10.1177/0885066607301359
40 schema:datePublished 2011-10
41 schema:datePublishedReg 2011-10-01
42 schema:description INTRODUCTION: Hypoxia and hypoxemia can lead to an unfavorable outcome after severe trauma, by both direct and delayed mechanisms. Prehospital intubation is meant to ensure pulmonary gas exchange. Limited evidence exists regarding indications for intubation after trauma. The aim of this study was to analyze prehospital intubation as an independent risk factor for the posttraumatic course of moderately injured patients. Therefore, only patients who, in retrospect, would not have required intubation were included in the matched-pairs analysis to evaluate the risks related to intubation. METHODS: The data of 42,248 patients taken from the trauma registry of the German Association for Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie (DGU)) were analyzed. Patients who met the following criteria were included: primary admission to a hospital; Glasgow Coma Scale (GCS) of 13 to 15; age 16 years or older; maximum injury severity per body region (AIS) ≤ 3; no administration of packed red blood cell units in the emergency trauma room; admission between 2005 and 2008; and documented data regarding intubation. The intubated patients were then matched with not-intubated patients. RESULTS: The study population included 600 matched pairs that met the inclusion criteria. The results indicated that prehospital intubation was associated with a prolonged rescue time (not intubated, 64.8 minutes; intubated, 82.3 minutes; P ≤ 0.001) and a higher volume replacement (not intubated, 911.3 ml; intubated, 1,573.8 ml; P ≤ 0.001). In the intubated patients, coagulation parameters, such as the prothrombin time ratio (PT) and platelet count, declined, as did the hemoglobin value (PT not intubated: 92.3%; intubated, 85.7%; P ≤ 0.001; hemoglobin not intubated, 13.4 mg/dl; intubated, 12.2 mg/dl; P ≤ 0.001). Intubation at the scene resulted in an elevated sepsis rate (not intubated, 1.5%; intubated, 3.7%; P ≤ 0.02) and an elevated prevalence of multiorgan failure (MOF) and organ failure (OF) (OF not intubated, 9.1%; intubated, 23.4%; P ≤ 0.001). CONCLUSIONS: Prehospital intubation in trauma patients is associated with a number of risks and should be critically weighed, except in cases with clear indicators, such as posttraumatic apnea.
43 schema:genre research_article
44 schema:inLanguage en
45 schema:isAccessibleForFree true
46 schema:isPartOf N24f9839ad16d41ed82bba1e8b2e054f4
47 N8fc45f17f68841078aa7eb40f6c1014a
48 sg:journal.1117766
49 schema:name Prehospital intubation of the moderately injured patient: a cause of morbidity? A matched-pairs analysis of 1,200 patients from the DGU Trauma Registry
50 schema:pagination r207
51 schema:productId N013347f5fb974609a463a11faa8b3fb9
52 N8f061337973a40dcae505a4eb83856f8
53 Nc1cf6130dbc44073a889224b5e4f8030
54 Nc87d9c5be3e044f88b4b6d3ed483b46c
55 Nffc54d29dd1f4835bb6cb736569c0f99
56 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032944546
57 https://doi.org/10.1186/cc10442
58 schema:sdDatePublished 2019-04-11T01:12
59 schema:sdLicense https://scigraph.springernature.com/explorer/license/
60 schema:sdPublisher N5485784675ba4322b89780f1e77faba2
61 schema:url http://link.springer.com/10.1186%2Fcc10442
62 sgo:license sg:explorer/license/
63 sgo:sdDataset articles
64 rdf:type schema:ScholarlyArticle
65 N013347f5fb974609a463a11faa8b3fb9 schema:name readcube_id
66 schema:value 9cf1885f7a1c9a1c53165855f2c05341e8f9bcacad42898278555d27950c5594
67 rdf:type schema:PropertyValue
68 N09e2a98a860745f8a50a9e3f67271ecf schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
69 schema:name Prospective Studies
70 rdf:type schema:DefinedTerm
71 N21bd2c53c2f64e829073448ebac1c4e1 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
72 schema:name Young Adult
73 rdf:type schema:DefinedTerm
74 N22332b93d1e54dc08bd52db978cca5cd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
75 schema:name Multiple Organ Failure
76 rdf:type schema:DefinedTerm
77 N24f9839ad16d41ed82bba1e8b2e054f4 schema:volumeNumber 15
78 rdf:type schema:PublicationVolume
79 N2ac67dac906142638abd34c2f2ecdf9c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
80 schema:name Intubation, Intratracheal
81 rdf:type schema:DefinedTerm
82 N46f3e453372443ed91457c89873c2ea5 rdf:first sg:person.01243655235.36
83 rdf:rest Ne8e631cac43d450b835b5e0825edd447
84 N481375e74fdf47b9a8cc4300915e0482 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
85 schema:name Germany
86 rdf:type schema:DefinedTerm
87 N4a197ae0ebc840ebbe93bc361f8205be rdf:first sg:person.01116202420.50
88 rdf:rest Nfbce2aedb9df4a7baaf84836f3610863
89 N51f5d56c2bfc41d8879fd20dcbff9223 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
90 schema:name Emergency Medical Services
91 rdf:type schema:DefinedTerm
92 N5485784675ba4322b89780f1e77faba2 schema:name Springer Nature - SN SciGraph project
93 rdf:type schema:Organization
94 N8f061337973a40dcae505a4eb83856f8 schema:name pubmed_id
95 schema:value 21914175
96 rdf:type schema:PropertyValue
97 N8fc45f17f68841078aa7eb40f6c1014a schema:issueNumber 5
98 rdf:type schema:PublicationIssue
99 N961e7ac374154fd4b1211af9f3952829 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
100 schema:name Morbidity
101 rdf:type schema:DefinedTerm
102 Na0f1cece0d9e4e60855c710ed8c8b25f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
103 schema:name Matched-Pair Analysis
104 rdf:type schema:DefinedTerm
105 Na162429fc2f3479f816f704571b4ef26 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
106 schema:name Trauma Severity Indices
107 rdf:type schema:DefinedTerm
108 Na3a860e4d60a411ba3e541a61f2abbcd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
109 schema:name Registries
110 rdf:type schema:DefinedTerm
111 Nae8786c140ad490ca7ec602aeaa26c53 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
112 schema:name Risk Factors
113 rdf:type schema:DefinedTerm
114 Nb3fc2d5eaad944f8a8ce834177519795 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
115 schema:name Female
116 rdf:type schema:DefinedTerm
117 Nbce208973566417fb3a956774def8d2b rdf:first sg:person.0665525420.56
118 rdf:rest N46f3e453372443ed91457c89873c2ea5
119 Nbfa880368e80479a8c4241e08e89ca0d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
120 schema:name Male
121 rdf:type schema:DefinedTerm
122 Nc1cf6130dbc44073a889224b5e4f8030 schema:name dimensions_id
123 schema:value pub.1032944546
124 rdf:type schema:PropertyValue
125 Nc81e94f15c284c2dab3bb837b457864d rdf:first sg:person.01243445550.68
126 rdf:rest N4a197ae0ebc840ebbe93bc361f8205be
127 Nc87d9c5be3e044f88b4b6d3ed483b46c schema:name nlm_unique_id
128 schema:value 9801902
129 rdf:type schema:PropertyValue
130 Ncd5d1e69ab0a4e10a42ca23e0393ff45 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
131 schema:name Adult
132 rdf:type schema:DefinedTerm
133 Ne652e452570f44508954280c813f7a8c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
134 schema:name Middle Aged
135 rdf:type schema:DefinedTerm
136 Ne8e631cac43d450b835b5e0825edd447 rdf:first sg:person.065766363.01
137 rdf:rest Nc81e94f15c284c2dab3bb837b457864d
138 Nee1140fa68e74e4dbc71edf97c48fbf0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
139 schema:name Humans
140 rdf:type schema:DefinedTerm
141 Nfb6722bc9f984f7c8514b4dea835710a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
142 schema:name Sepsis
143 rdf:type schema:DefinedTerm
144 Nfbce2aedb9df4a7baaf84836f3610863 rdf:first sg:person.01164315620.41
145 rdf:rest Nff8b3918cceb4469b4a3e937b8ea8bb2
146 Nfc8c522f2b1d46189b1587884d350340 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
147 schema:name Wounds and Injuries
148 rdf:type schema:DefinedTerm
149 Nff8b3918cceb4469b4a3e937b8ea8bb2 rdf:first sg:person.0645573012.58
150 rdf:rest rdf:nil
151 Nffc54d29dd1f4835bb6cb736569c0f99 schema:name doi
152 schema:value 10.1186/cc10442
153 rdf:type schema:PropertyValue
154 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
155 schema:name Medical and Health Sciences
156 rdf:type schema:DefinedTerm
157 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
158 schema:name Clinical Sciences
159 rdf:type schema:DefinedTerm
160 sg:journal.1117766 schema:issn 1364-8535
161 1466-609X
162 schema:name Critical Care
163 rdf:type schema:Periodical
164 sg:person.01116202420.50 schema:affiliation https://www.grid.ac/institutes/grid.412581.b
165 schema:familyName Wafaisade
166 schema:givenName Arasch
167 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01116202420.50
168 rdf:type schema:Person
169 sg:person.01164315620.41 schema:affiliation https://www.grid.ac/institutes/grid.410718.b
170 schema:familyName Kauther
171 schema:givenName Max Daniel
172 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01164315620.41
173 rdf:type schema:Person
174 sg:person.01243445550.68 schema:affiliation https://www.grid.ac/institutes/grid.411067.5
175 schema:familyName Ruchholtz
176 schema:givenName Steffen
177 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01243445550.68
178 rdf:type schema:Person
179 sg:person.01243655235.36 schema:affiliation https://www.grid.ac/institutes/grid.412581.b
180 schema:familyName Lefering
181 schema:givenName Rolf
182 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01243655235.36
183 rdf:type schema:Person
184 sg:person.0645573012.58 schema:affiliation https://www.grid.ac/institutes/grid.410718.b
185 schema:familyName Lendemans
186 schema:givenName Sven
187 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0645573012.58
188 rdf:type schema:Person
189 sg:person.065766363.01 schema:affiliation https://www.grid.ac/institutes/grid.410718.b
190 schema:familyName Waydhas
191 schema:givenName Christian
192 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.065766363.01
193 rdf:type schema:Person
194 sg:person.0665525420.56 schema:affiliation https://www.grid.ac/institutes/grid.410718.b
195 schema:familyName Hussmann
196 schema:givenName Bjoern
197 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0665525420.56
198 rdf:type schema:Person
199 sg:pub.10.1007/bf01709751 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052044737
200 https://doi.org/10.1007/bf01709751
201 rdf:type schema:CreativeWork
202 sg:pub.10.1007/s00113-010-1842-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004327376
203 https://doi.org/10.1007/s00113-010-1842-4
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1016/j.jclinane.2004.01.007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004015782
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1097/00000542-199502000-00007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051779117
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1097/00001503-200004000-00023 schema:sameAs https://app.dimensions.ai/details/publication/pub.1031119230
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1097/00003246-199107000-00024 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023851977
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1097/00005373-200205000-00010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048728966
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1097/00005373-200206000-00020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018428349
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1097/01.ta.0000037876.37236.d6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030377627
218 rdf:type schema:CreativeWork
219 https://doi.org/10.1097/01.ta.0000069184.82147.06 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028878571
220 rdf:type schema:CreativeWork
221 https://doi.org/10.1097/01.ta.0000083335.93868.2c schema:sameAs https://app.dimensions.ai/details/publication/pub.1009949093
222 rdf:type schema:CreativeWork
223 https://doi.org/10.1097/sla.0b013e3181efc15f schema:sameAs https://app.dimensions.ai/details/publication/pub.1027919870
224 rdf:type schema:CreativeWork
225 https://doi.org/10.1097/ta.0b013e31805d8f6b schema:sameAs https://app.dimensions.ai/details/publication/pub.1048193711
226 rdf:type schema:CreativeWork
227 https://doi.org/10.1097/ta.0b013e318191bb0c schema:sameAs https://app.dimensions.ai/details/publication/pub.1040353926
228 rdf:type schema:CreativeWork
229 https://doi.org/10.1097/ta.0b013e3181dc6c7f schema:sameAs https://app.dimensions.ai/details/publication/pub.1015180683
230 rdf:type schema:CreativeWork
231 https://doi.org/10.1097/ta.0b013e3181dcd137 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050058751
232 rdf:type schema:CreativeWork
233 https://doi.org/10.1177/0885066607299525 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028345703
234 rdf:type schema:CreativeWork
235 https://doi.org/10.1177/0885066607301359 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008913719
236 rdf:type schema:CreativeWork
237 https://www.grid.ac/institutes/grid.410718.b schema:alternateName Essen University Hospital
238 schema:name Trauma Surgery Department, University Hospital Essen, Hufelandstraße 55, 45122, Essen, Germany
239 rdf:type schema:Organization
240 https://www.grid.ac/institutes/grid.411067.5 schema:alternateName Universitätsklinikum Gießen und Marburg
241 schema:name Trauma Department, Hand and Reconstructive Surgery Unit, University Hospital Marburg, Baldingerstraße, 35043, Marburg, Germany
242 rdf:type schema:Organization
243 https://www.grid.ac/institutes/grid.412581.b schema:alternateName Witten/Herdecke University
244 schema:name Institute for Research in Operative Medicine (IFOM), Faculty of Medicine, Witten/Herdecke University GmbH, Cologne Merheim Medical Center, Ostmerheimer Straße 200, 51109, Cologne, Germany
245 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...