Inhalation Injury
Conditions
Keywords
Inhalation Injury, Smoke, Inhalation Injury, Acute
Brief summary
The goal of this multicenter study is to develop a standardized scoring system for inhalation injury that can be used both to quantify and predict injury severity inhalation injury in adults over 18 years of age. A model will be developed based on clinical, radiographic, bronchoscopic, and biochemical parameters that will predict the severity of inhalation injury with greater than 80% predictive accuracy
Detailed description
The goal of this multicenter study is to develop a standardized scoring system for inhalation injury that can be used both to quantify and predict injury severity inhalation injury in adults over 18 years of age. A model will be developed based on clinical, radiographic, bronchoscopic, and biochemical parameters that will predict the severity of inhalation injury with greater than 80% predictive accuracy
Interventions
bronchoscopy with collection of bronchioalveolar lavage specimen, blood samples, High-Resolution spiral computed tomography(CT)
Sponsors
Study design
Eligibility
Inclusion criteria
* Injury consistent with inhalation of smoke or products of combustion * Requires intubation within 24 hours of injury * Meets one of the following 4 criteria 1. history of closed space injury 2. carbonaceous sputum 3. elevated carboxyhemoglobin 4. dx of inhalation injury is considered likely by investigator
Exclusion criteria
* ≤ 17 years of age * Prisoner
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Development of a diagnostic model to predict the severity of inhalation injury | within 48 hours of admission | The development of a diagnostic model to predict the severity of inhalation injury based on demographics, characteristics of injury, bronchoscopy, CT scan, and inflammatory markers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of inhalation injury | at discharge | Assessment of the impact of inhalation injury on the incidence of pneumonia, acute respiratory distress syndrome (ARDS), and acute lung injury (ALI). |
Countries
United States