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Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa.

Publication ,  Journal Article
Goode, V; Punjabi, V; Niewiara, J; Roberts, L; Bruce, J; Silva, S; Morgan, B; Pereira, K; Brysiewicz, P; Clarke, D
Published in: The Journal of surgical research
June 2021

The trauma burden in South Africa is significant. The objective of this project was to investigate the incidence of posttrauma pulmonary complications (PPCs) and to identify patient, health risks, and hospital factors, which predispose trauma patients to develop PPCs hospital in Pietermaritzburg, South Africa.The design was a retrospective secondary data analysis of patients who presented as a trauma admission via the health systems' Hybrid Electronic Medical Registry. The final data set included 6382 trauma admissions.The PPC rate was 9.4% for patients with a surgical intervention versus 1.9% for those without a surgical intervention. Of the total 289 PPCs reported, the most common included pneumonia or atelectasis (46.4%) and prolonged ventilation (36.0%). The risk of developing a PPC was statistically significantly (P < 0.0001) associated with surgical intervention and the number of surgeries.The trauma burden in South Africa requires complex medical and surgical interventions. The incidence of PPCs is significantly associated with surgical intervention. With the increasing demand to harness data and improve patient care, the Hybrid Electronic Medical Registry proves to be a driver for quality improvement.

Duke Scholars

Published In

The Journal of surgical research

DOI

EISSN

1095-8673

ISSN

0022-4804

Publication Date

June 2021

Volume

262

Start / End Page

47 / 56

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Surgery
  • Risk Factors
  • Retrospective Studies
  • Pulmonary Atelectasis
  • Pneumonia
  • Middle Aged
  • Male
  • Lung Diseases
 

Citation

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ICMJE
MLA
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Goode, V., Punjabi, V., Niewiara, J., Roberts, L., Bruce, J., Silva, S., … Clarke, D. (2021). Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa. The Journal of Surgical Research, 262, 47–56. https://doi.org/10.1016/j.jss.2020.12.034
Goode, Victoria, Vrinda Punjabi, Joanna Niewiara, Lauren Roberts, John Bruce, Susan Silva, Brett Morgan, Katherine Pereira, Petra Brysiewicz, and Damian Clarke. “Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa.The Journal of Surgical Research 262 (June 2021): 47–56. https://doi.org/10.1016/j.jss.2020.12.034.
Goode V, Punjabi V, Niewiara J, Roberts L, Bruce J, Silva S, et al. Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa. The Journal of surgical research. 2021 Jun;262:47–56.
Goode, Victoria, et al. “Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa.The Journal of Surgical Research, vol. 262, June 2021, pp. 47–56. Epmc, doi:10.1016/j.jss.2020.12.034.
Goode V, Punjabi V, Niewiara J, Roberts L, Bruce J, Silva S, Morgan B, Pereira K, Brysiewicz P, Clarke D. Using a Retrospective Secondary Data Analysis to Identify Risk Factors for Pulmonary Complications in Trauma Patients in Pietermaritzburg, South Africa. The Journal of surgical research. 2021 Jun;262:47–56.
Journal cover image

Published In

The Journal of surgical research

DOI

EISSN

1095-8673

ISSN

0022-4804

Publication Date

June 2021

Volume

262

Start / End Page

47 / 56

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Surgery
  • Risk Factors
  • Retrospective Studies
  • Pulmonary Atelectasis
  • Pneumonia
  • Middle Aged
  • Male
  • Lung Diseases