{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:43:50Z","timestamp":1747226630140,"version":"3.40.5"},"reference-count":0,"publisher":"Weston Medical Publishing","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Disaster Med"],"abstract":"<jats:p>Introduction: Adult respiratory distress syndrome (ARDS) is a well-described complication of critical illness. We hypothesized that rates of comorbid diseases in a population may influence the risk for developing ARDS in trauma patients. This can help plan medical responses.Methods: Patients from the 2017 National Trauma Databank were analyzed. Inclusion criteria were an injury severity score (ISS) of \u2265 2 and 1 or more documented days of mechanical ventilation. Data were analyzed using \u03c72, Student\u2019s t test, Mann\u2013Whitney U test, or logistic regression as indicated.Results: Diabetes (odds ratio [OR] 1.33, 95 percent confidence interval [CI] 1.17-1.52), smoking (OR 1.26, 95 percent CI 1.13-1.40), transfusion (OR 1.20, 95 percent CI 1.09-1.32), ISS (OR 1.02, 95 percent CI 1.02-1.03), male gender (OR 1.22, 95 percent CI 1.10-1.35), decreasing Glasgow coma score (OR 1.04, 95 percent CI 1.03-1.05), and increasing abbreviated injury score of the thorax (OR 1.12, 95 percent CI 1.09-1.16) were associated with an increase in risk for developing ARDS.Conclusion: Diabetes and smoking are risk factors for developing ARDS after trauma. Medical response planning in countries with high rates of diabetes mellitus or smoking should take into account a greater need for intensive care and longer patient admissions to field hospitals.<\/jats:p>","DOI":"10.5055\/ajdm.2021.0385","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T21:24:46Z","timestamp":1619817886000},"page":"43-48","source":"Crossref","is-referenced-by-count":0,"title":["Medical planning for disaster response: Identifying risk factors for developing adult respiratory distress syndrome among trauma patients"],"prefix":"10.5055","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8990-6129","authenticated-orcid":false,"given":"Ryan J.","family":"Keneally, MD","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark C.","family":"Hubbard, MD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrina","family":"Hawkins, MD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Davison, MD","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S.","family":"Berger, MD, MBA, FASA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3008","published-online":{"date-parts":[[2021,1,1]]},"container-title":["American Journal of Disaster Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.wmpllc.org\/ojs\/index.php\/ajdm\/article\/viewFile\/2935\/3174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wmpllc.org\/ojs\/index.php\/ajdm\/article\/viewFile\/2935\/3174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T17:38:49Z","timestamp":1634146729000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wmpllc.org\/ojs\/index.php\/ajdm\/article\/view\/2935"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,1]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,1,1]]}},"URL":"https:\/\/doi.org\/10.5055\/ajdm.2021.0385","relation":{},"ISSN":["1932-149X","1932-149X"],"issn-type":[{"type":"electronic","value":"1932-149X"},{"type":"print","value":"1932-149X"}],"subject":[],"published":{"date-parts":[[2021,1,1]]}}}