Incidence and potential risk factors for hospital-acquired pneumonia in an emergency department of surgery
| Autor: | RN Pia Yngman-Uhlin PhD, Marie Stenlund, Rune Sjödahl |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Iatrogenic Disease Hospital-acquired pneumonia Hospitals University 03 medical and health sciences Nursing care Postoperative Complications 0302 clinical medicine stomatognathic system Risk Factors medicine Humans 030212 general & internal medicine Risk factor Aged Retrospective Studies Abdomen Acute Aged 80 and over Sweden Cross Infection business.industry Incidence Health Policy Public Health Environmental and Occupational Health Retrospective cohort study Pneumonia General Medicine Emergency department Odds ratio Middle Aged medicine.disease 030228 respiratory system Case-Control Studies Emergency medicine Wounds and Injuries Female business Abdominal surgery |
| Zdroj: | International Journal for Quality in Health Care. 29:290-294 |
| ISSN: | 1464-3677 1353-4505 |
| Popis: | Objective Hospital-acquired pneumonia (HAP) is associated with high mortality and is the second most common nosocomial infection. The aim of this study was to calculate the incidence and to identify potential risk factors for HAP in an emergency ward for surgical patients admitted because of acute abdomen or trauma. Design A structured review of medical records was conducted. Patients diagnosed with pneumonia >48 h after admittance, were compared with a randomly chosen age-matched reference group. Ten variables judged as potential risk factors for HAP were studied in 90 patients. Setting An emergency ward for surgical patients with acute abdomen or trauma at an Univerity hospital in Sweden. Participants A total of 90 patients with HAP and 120 age-matched controls were included. Main outcome measures Risk factors for HAP in patients at a surgical clinic. Results Of a total of 10 335 admitted patients, during 4.5 years the hospital stay was longer than 48 h in 4961 patients. Of these 90 (1.8%) fulfilled the strict criteria for HAP. Potential risk factors were suspected or verified aspiration (odds ratio (OR): 23.9) that was 2-fold higher than immobilization (OR: 11.2). Further, chronic pulmonary obstructive disease (COPD)/asthma, abdominal surgery and gastric retention/vomiting were risk factors for HAP. Conclusion Verified or suspected aspiration was the dominating risk factor for HAP but also immobilization was frequently associated with HAP. Various established preventive measures should be implemented in the nursing care to reduce the frequency of HAP. |
| Databáze: | OpenAIRE |
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