Publications by authors named "M C P M van Baal"
Identifying predictors of nosocomial pneumonia in trauma patients admitted to a level-1 trauma center.
Arch Orthop Trauma Surg
December 2024
Background: Nosocomial pneumonia is common in trauma patients and associated with an adverse prognosis. We recently externally validated and recalibrated an existing formula to predict nosocomial pneumonia risk. Identifying more potential predictors could aid in a more accurate prediction of nosocomial pneumonia risk in level-1 trauma patients.
View Article and Find Full Text PDFObjective: What is the effect of surgical or conservative treatment on the in-hospital outcomes of patients with combined fractures of the clavicle and ribs?
Design: Retrospective cohort study.
Setting: Two level-1 trauma centers and academic teaching hospitals in Boston, Massachusetts.
Patients: All adult patients with a clavicle fracture and ≥3 rib fractures admitted from 2016 to 2021.
Article Synopsis
- This study aimed to validate a prediction model for early identification of patients at risk for nosocomial pneumonia in US level-1 trauma centers, which could enhance patient survival and reduce healthcare costs.
- The research analyzed data from over 900,000 trauma patients, focusing on incidents of total nosocomial pneumonia and ventilator-associated pneumonia (VAP) over two time periods.
- Results showed that the Croce model effectively discriminates patients at risk for pneumonia, suggesting its implementation in clinical practice could improve preventative strategies for those most vulnerable.*
Background: This study investigated the incidence and clinical consequences of abnormal radiological and clinical findings during routinely performed 6-week outpatient visits in patients treated conservatively for multiple (3 or more) rib fractures.
Methods: A retrospective analysis was conducted among patients with multiple rib fractures treated conservatively between 2018 and 2021 (Opvent database). The primary outcome was the incidence of abnormalities on chest X-ray (CXR) and their clinical consequences, which were categorized as requiring intervention or additional clinical/radiological examination.
Purpose: What are reported definitions of HAP in trauma patient research?
Methods: A systematic review was performed using the PubMed/MEDLINE database. We included all English, Dutch, and German original research papers in adult trauma patients reporting diagnostic criteria for hospital-acquired pneumonia diagnosis. The risk of bias was assessed using the MINORS criteria.