Risk factors for ventilator-associated pneumonia in trauma patients with torso injury: a retrospective single-center study
| Title: | Risk factors for ventilator-associated pneumonia in trauma patients with torso injury: a retrospective single-center study |
|---|---|
| Authors: | Jin Young Lee, Young Hoon Sul, Se Heon Kim, Jin Bong Ye, Jin Suk Lee, Hanlim Choi, Su Young Yoon, Jung Hee Choi |
| Source: | Journal of International Medical Research, Vol 49 (2021) |
| Publisher Information: | SAGE Publishing, 2021. |
| Publication Year: | 2021 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | Medicine (General), R5-920 |
| More Details: | 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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1473-2300 03000605 |
| Relation: | https://doaj.org/toc/1473-2300 |
| DOI: | 10.1177/03000605211061029 |
| Access URL: | https://doaj.org/article/bd38cac4da224642a8138d43af65d12f |
| Accession Number: | edsdoj.bd38cac4da224642a8138d43af65d12f |
| Database: | Directory of Open Access Journals |
| ISSN: | 14732300 03000605 |
|---|---|
| DOI: | 10.1177/03000605211061029 |
| Published in: | Journal of International Medical Research |
| Language: | English |