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The effects of smoking on adolescent trauma patients: a propensity-score-matched analysis.


ABSTRACT: PURPOSE:Cigarettes have been demonstrated to be toxic to the pulmonary connective tissue by impairing the lung's ability to clear debris, resulting in infection and acute respiratory distress syndrome (ARDS). Approximately 8% of adolescents are smokers. We hypothesized that adolescent trauma patients who smoke have a higher rate of ARDS and pneumonia when compared to non-smokers. METHODS:The Trauma Quality Improvement Program (2014-2016) was queried for adolescent trauma patients aged 13-17 years. Adolescent smokers were 1:2 propensity-score-matched to non-smokers based on age, comorbidities, and injury type. Data were analyzed using chi square for categorical data and Mann-Whitney U test for continuous data. RESULTS:From 32,610 adolescent patients, 997 (3.1%) were smokers. After matching, 459 smokers were compared to 918 non-smokers. There were no differences in matched characteristics. Compared to non-smokers, smokers had an increased rate of pneumonia (3.1% vs. 1.1%, p?=?0.01) but not ARDS (0.2% vs. 0%, p?=?0.16). Compared to the non-smoking group, the smokers had a longer median total hospital length-of-stay (3 vs. 2 days, p?=?0.01) and no difference in overall mortality (1.5% vs. 2.4%, p?=?0.29). CONCLUSION:Smoking is associated with an increased rate of pneumonia in adolescent trauma patients. Future research should target smoking cessation and/or interventions to mitigate the deleterious effects of smoking in this population.

SUBMITTER: Kojayan GG 

PROVIDER: S-EPMC7223784 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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The effects of smoking on adolescent trauma patients: a propensity-score-matched analysis.

Kojayan Greg Garo GG   Grigorian Areg A   Schubl Sebastian D SD   Kuza Catherine M CM   Dolich Matthew M   Bashir Rame R   Nahmias Jeffry J  

Pediatric surgery international 20200331 6


<h4>Purpose</h4>Cigarettes have been demonstrated to be toxic to the pulmonary connective tissue by impairing the lung's ability to clear debris, resulting in infection and acute respiratory distress syndrome (ARDS). Approximately 8% of adolescents are smokers. We hypothesized that adolescent trauma patients who smoke have a higher rate of ARDS and pneumonia when compared to non-smokers.<h4>Methods</h4>The Trauma Quality Improvement Program (2014-2016) was queried for adolescent trauma patients  ...[more]

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