UASSIGNED:呼吸机相关性肺炎是指气管插管后至少48小时发生的肺炎。它与高经济成本有关,住院时间更长,和高死亡率。因此,本研究旨在确定BahirDar专科医院收治的成人重症监护病房患者中呼吸机相关性肺炎的发生率和预测因素.
UNASSIGNED:对312名成人重症监护病房住院患者进行了回顾性随访研究。使用数据提取检查表来收集数据。收集的数据被编码,清洁,并输入EpiData版本3.1,并导出到SPSS版本22和STATA版本14进行分析。描述性分析是通过使用表格来完成的,文本和百分比。进行了双变量和多变量对数二项分析以确定呼吸机相关性肺炎的预测因子。P值<0.05的变量被认为是统计学上显著的。
UNASSIGNED:研究发现,27.9%(95%CI:23%-33%)的患者发生呼吸机相关性肺炎,VAP发生率为45.7/1000呼吸机日。患者的住院时间大于或等于14天(ARR:13,95%CI:9.3-31)和MV的7-13天(ARR:7.2,95%CI:6.2-11),输血(ARR:2.8,95%CI:1.1-6.9),低GCS(ARR:2.5,95%CI:1.3-5.1),使用皮质类固醇(ARR:2.1,95%CI:1.1-4.1),仰卧位(ARR:8.1,95%CI:1.7-40)被确定为呼吸机相关性肺炎的独立预测因子.
UNASSIGNED:近四分之一的参与者出现呼吸机相关性肺炎。通风持续时间,输血,使用皮质类固醇,仰卧位,低格拉斯哥昏迷评分是呼吸机相关性肺炎的重要预测因子。
UNASSIGNED: Ventilator-associated pneumonia refers to pneumonia that happens at least 48 hours after endotracheal intubation. It is associated with high economic costs, longer attributable lengths of stay in the hospital, and high mortality. Therefore, this study aims to determine the incidence and predictors of ventilator-associated pneumonia among adult intensive care unit admitted patients at Bahir Dar Specialized Hospitals.
UNASSIGNED: A retrospective follow-up study was conducted among 312 adult intensive care unit admitted patients. A data extraction checklist was used to collect the data. The collected data were coded, cleaned, and entered into EpiData version 3.1 and exported to SPSS version 22 and STATA version 14 for analysis. Descriptive analysis was done by using tables, text and percentages. Bivariable and multivariable log binomial analyses were conducted to identify predictors of ventilator-associated pneumonia. Variables having p-value <0.05 were considered statistically significant.
UNASSIGNED: The study found that 27.9% (95% CI: 23%-33%) of patients developed ventilator-associated pneumonia and the incidence rate of VAP was 45.7 per 1000 ventilator days. Patient\'s stay more than or equal to 14 days (ARR: 13, 95% CI: 9.3-31) and 7-13 days on MV (ARR: 7.2, 95% CI: 6.2-11), blood transfusion (ARR: 2.8, 95% CI: 1.1-6.9), low GCS (ARR: 2.5, 95% CI: 1.3-5.1), use of corticosteroid (ARR: 2.1, 95% CI: 1.1-4.1), and supine head position (ARR: 8.1, 95% CI: 1.7-40) were identified as independent predictors of ventilator associated pneumonia.
UNASSIGNED: Nearly one-fourth of the participants developed ventilator-associated pneumonia. Duration of ventilation, blood transfusion, corticosteroid use, supine head position, and low Glasgow coma scale were significant predictors of ventilator-associated pneumonia.