Possibilities for modifying risk factors for the development of hospital-acquired pneumonia in intensive care patients: results of a retrospective, observational study
| Autor: | Milan Kolar, Katerina Langova, Tomas Herkel, Michaela Vobrova, Radovan Uvizl |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Critical Care Critical Illness lcsh:Medicine Lower risk Hospital-acquired pneumonia General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine stomatognathic system Risk Factors Intensive care Internal medicine Pneumonia Bacterial medicine hospital-acquired pneumonia Humans 030212 general & internal medicine Risk factor Czech Republic Retrospective Studies intensive care Cross Infection business.industry Incidence Incidence (epidemiology) Stress ulcer lcsh:R Pneumonia Ventilator-Associated Retrospective cohort study Length of Stay Middle Aged medicine.disease mortality Anti-Bacterial Agents Surgery Treatment Outcome Parenteral nutrition 030228 respiratory system risk factor Female business |
| Zdroj: | Biomedical Papers, Vol 161, Iss 3, Pp 303-309 (2017) |
| ISSN: | 1804-7521 1213-8118 |
| Popis: | Background: Hospital-acquired pneumonia (HAP) development is affected by a range of risk factors. Methods: A retrospective, observational study processing data on all consecutive intensive care patients older than 18 years of age between 1 January 2011 and 31 December 2015. The aim was to determine the incidence of potential risk factors and their impact on the development of HAP. Results: A total of 2229 patients. The overall mortality was 24.0%; the mean APACHE II score 21.4. The mean length of ICU stay was 5.9 days and the mean length of hospital stay was 20.5 days. The criteria for HAP were met by 310 patients (13.9%). Early- and late-onset HAP was diagnosed in 45 (14.5%) and 265 (85.5%) patients, respectively. The mean APACHE II score was 22.1, the mean length of ICU stay was 7.6 days and the mean length of hospital stay was 23.5 days. The most important non-modifiable factors increasing the risk of HAP were multiple organ failure (OR 13.733; P |
| Databáze: | OpenAIRE |
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