The Journal of international medical research · 2021
Risk factors for ventilator-associated pneumonia in trauma patients with torso injury: a retrospective single-center study.
СтатьяНазвание и аннотация: Перевод в очереди
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Lee Jin Young, Sul Young Hoon, Kim Se Heon, Ye Jin Bong, Lee Jin Suk, Choi Hanlim, Yoon Su Young, Choi Jung Hee
Аннотация
OBJECTIVE: We aimed to identify the risk factors for ventilator-associated pneumonia in patients admitted to critical care after a torso injury.
METHODS: We retrospectively evaluated 178 patients with torso injury aged >15 years who were intubated in the emergency room and placed on a mechanical ventilator after intensive care unit (ICU) admission, survived for >48 hours, had thoracic and/or abdominal injuries, and had no end-stage renal disease. We compared clinico-laboratory variables between ventilator-associated pneumonia (n = 54, 30.3%) and non-ventilator-associated pneumonia (n = 124, 69.7%) groups. Risk factors for ventilator-associated pneumonia were assessed using multivariable logistic regression analysis.
RESULTS: Ventilator-associated pneumonia was associated with a significantly longer stay in the ICU (11.3 vs. 6.8 days) and longer duration of mechanical ventilation (7 vs. 3 days). Injury Severity Score (adjusted odds ratio [AOR]: 1.048; 95% confidence interval [CI]: 1.008-1.090), use of vasopressors (AOR: 2.541; 95% CI: 1.121-5.758), and insertion of a nasogastric tube (AOR: 6.749; 95% CI: 2.397-18.999) were identified as independent risk factors of ventilator-associated pneumonia.
CONCLUSION: Ventilator-associated pneumonia in patients with torso injury who were admitted to the ICU was highly correlated with Injury Severity Score, use of vasopressors, and insertion of a nasogastric tube.
METHODS: We retrospectively evaluated 178 patients with torso injury aged >15 years who were intubated in the emergency room and placed on a mechanical ventilator after intensive care unit (ICU) admission, survived for >48 hours, had thoracic and/or abdominal injuries, and had no end-stage renal disease. We compared clinico-laboratory variables between ventilator-associated pneumonia (n = 54, 30.3%) and non-ventilator-associated pneumonia (n = 124, 69.7%) groups. Risk factors for ventilator-associated pneumonia were assessed using multivariable logistic regression analysis.
RESULTS: Ventilator-associated pneumonia was associated with a significantly longer stay in the ICU (11.3 vs. 6.8 days) and longer duration of mechanical ventilation (7 vs. 3 days). Injury Severity Score (adjusted odds ratio [AOR]: 1.048; 95% confidence interval [CI]: 1.008-1.090), use of vasopressors (AOR: 2.541; 95% CI: 1.121-5.758), and insertion of a nasogastric tube (AOR: 6.749; 95% CI: 2.397-18.999) were identified as independent risk factors of ventilator-associated pneumonia.
CONCLUSION: Ventilator-associated pneumonia in patients with torso injury who were admitted to the ICU was highly correlated with Injury Severity Score, use of vasopressors, and insertion of a nasogastric tube.