Table 5

Predictors of mortality for patients with acute respiratory distress syndrome after trauma*

OR95% CIP value
Demographics
Age
 16–25Baseline
 26–451.201.08 to 1.330.001
 46–652.101.89 to 2.34<0.001
 66–753.603.08 to 4.20<0.001
 >756.735.79 to 7.81<0.001
Male1.121.03 to 1.210.005
Race
 WhiteBaseline
 Black1.080.98 to 1.180.1
 Hispanic or Latino1.040.92 to 1.190.5
 Other0.900.75 to 1.090.3
Insurance
 MedicaidBaseline
 Medicare1.351.19 to 1.52<0.001
 Private0.930.84 to 1.030.1
 Self-pay1.711.52 to 1.93<0.001
Extrathoracic risk factors
EtOH
 No-confirmedBaseline
 Not tested0.970.88 to 1.060.5
 Below 0.080.960.83 to 1.120.6
 Above 0.080.730.66 to 0.82<0.001
Drugs
 No-confirmedBaseline
 Not tested1.070.96 to 1.180.2
 Yes-prescription0.710.60 to 0.83<0.001
 Yes-illegal0.830.74 to 0.930.002
Injury Severity Score1.051.04 to 1.05<0.001
Lowest ED systolic blood pressure1.001.00 to 1.00<0.001
Temperature0.960.95 to 0.98<0.001
GCS motor score0.790.78 to 0.81<0.001
Thoracic risk factors
Trauma-induced lung contusion0.910.84 to 0.990.025
Traumatic rib fracture
 No rib fracturesBaseline
 1 rib fracture0.680.59 to 0.78<0.001
 2 rib fractures0.730.61 to 0.880.001
 3 rib fractures0.640.52 to 0.78<0.001
 4 rib fractures0.810.69 to 0.940.007
 5 rib fractures0.570.46 to 0.71<0.001
 6 rib fractures0.540.42 to 0.68<0.001
 7 rib fractures0.430.33 to 0.56<0.001
 ≥8 rib fractures0.510.44 to 0.59<0.001
 Rib fracture (NOS)0.760.66 to 0.87<0.001
 Flail chest0.560.48 to 0.66<0.001
Comorbidities
 Alcoholism0.920.82 to 1.030.2
 Bleeding disorder1.501.34 to 1.68<0.001
 Congestive heart failure1.221.07 to 1.390.004
 Current smoker0.780.70 to 0.88<0.001
 Diabetes mellitus1.171.06 to 1.290.001
 History of angina within 30 days0.970.73 to 1.300.9
 History of myocardial infarction1.180.98 to 1.420.09
 Hypertension requiring medications0.900.83 to 0.970.009
 Obesity1.000.87 to 1.130.9
 History of respiratory disease1.080.96 to 1.200.2
  • *C-statistic=0.94.

  • ED, emergency department; EtOH, preinjury alcohol consumption; GCS, Glasgow Coma Scale; NOS, not otherwise specified.