Pulmonary injury risk assessment for short-duration blasts

被引:101
作者
Bass, Cameron R. [1 ]
Rafaels, Karin A. [1 ]
Salzar, Robert S. [1 ]
机构
[1] Univ Virginia, Ctr Appl Biomech, Charlottesville, VA 22902 USA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2008年 / 65卷 / 03期
关键词
blast; lung injury; injury risk;
D O I
10.1097/TA.0b013e3181454ab4
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: Blast injuries are becoming more common in modern war and terrorist action. This increasing threat underscores the importance of understanding and evaluating blast effects. Methods: For this study, data on more than 2,550 large animal experiments were collected from more than 50 experimental studies on blast. From this dataset, over 1,100 large animal experiments were selected with positive phase overpressure durations of 30 milliseconds or less. A two variable nonlinear logistic regression was performed on the experimental data for threshold injury and lethality in terms of pressure and duration. The effects of mass, pressure, and duration scaling were all evaluated. Results: New injury risk assessment curves were analyzed for both incident and reflected pressure conditions. Position dependent injury risk curves were also analyzed and were found to be unnecessary, at least for prone and side on conditions. Conclusions: The injury risk assessment showed good correlation to some of the existing injury assessments. It also showed good correspondence to a reported human case of blast exposure. Pressure scaling was analyzed to be unnecessary for these short duration exposures. Recommended injury assessments for various orientations relative to the incoming blast wave are included.
引用
收藏
页码:604 / 615
页数:12
相关论文
共 54 条
[1]  
ZUCKERMAN S., 1941, Proceedings of the Royal Society of Medicine, V31, P171
[2]  
[Anonymous], 1989, Applied Logistic Regression
[3]  
[Anonymous], 1984, SAE T
[4]   Chest wall velocity as a predictor of nonauditory blast injury in a complex wave environment [J].
Axelsson, H ;
Yelverton, JT .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996, 40 (03) :S31-S37
[5]   Statistics review 13: Receiver operating characteristic curves [J].
Bewick, V ;
Cheek, L ;
Ball, J .
CRITICAL CARE, 2004, 8 (06) :508-512
[6]  
Bowen IG., 1968, ESTIMATE MANS TOLERA
[7]  
CLEMEDSON CJ, 1979, ACTA PHYSIOL SCAND, V18, P200
[8]  
Cooper GJ, 1997, SCI FDN TRAUMA, P258
[9]  
Cox D. R., 1989, Analysis of Binary Data, V2nd
[10]  
DAMON EG, 1968, AEROSPACE MED, V39, P1039