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首页> 外文期刊>International Journal of Environmental Research and Public Health >Risk Factors of Pneumonia Associated with Mechanical Ventilation
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Risk Factors of Pneumonia Associated with Mechanical Ventilation

机译：肺炎与机械通气相关的危险因素

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Background: The hospitalization of patients treated in the intensive care unit (ICU) in 5–15% of cases is associated with the occurrence of a complication in the form of ventilator-associated pneumonia (VAP). Purpose: Retrospective assessment of risk factors of VAP in patients treated at ICUs in the University Hospital in Krakow. Methods: The research involved the medical documentation of 1872 patients treated at the ICU of the University Hospital in Krakow between 2014 and 2017. The patients were mechanically ventilated for at least 48 h. The obtained data were presented by qualitative and quantitative analysis (%). The qualitative variables were compared using the Chi 2 test. Statistically significant was the p 0.05 value. Results: VAP was demonstrated in 23% of all patients treated in ICU during the analyzed period, and this infection occurred in 13% of men and 10% of women. Pneumonia associated with ventilation was found primarily in patients staying in the ward for over 15 days and subjected to intratracheal intubation (17%). A statistically significant was found between VAP and co-morbidities, e.g., chronic obstructive pulmonary disease, diabetes, alcoholism, obesity, the occurrence of VAP and multi-organ trauma, hemorrhage/hemorrhagic shock, and fractures as the reasons for admitting ICU patients. Conclusions: Patients with comorbidities such as chronic obstructive pulmonary disease, obesity, diabetes, and alcoholism are a high-risk group for VAP. Particular attention should be paid to patients admitted to the ICU with multi-organ trauma, fractures, and hemorrhage/hemorrhagic shock as patients predisposed to VAP. There is a need for further research into risk factors for non-modifiable VAP such as comorbidities and reasons for ICU admission in order to allow closer monitoring of these patients for VAP.
机译：背景：5-15％病例中，在重症监护病房（ICU）中治疗的患者的住院治疗与呼吸机相关肺炎（VAP）的形式发生并发症。目的：克拉科夫大学医院临床患者患者危险因素的回顾性评估。方法：该研究涉及2014年至2017年间克拉科夫大学医院ICU治疗1872名患者的医学文件。患者机械通风至少48小时。所获得的数据通过定性和定量分析（％）提出。使用CHI 2测试进行比较定性变量。统计学意义是P <0.05值。结果：VAP在分析期间在ICU治疗的所有患者中展示了23％，这种感染占13％的男性和10％的女性。肺炎与通风相关的肺炎，主要是在病房患者中持续超过15天，并进行腹腔内插管（17％）。 VAP和共病理学之间发现了统计学意义，例如慢性阻塞性肺病，糖尿病，酒精中毒，肥胖症，VAP和多器官创伤的发生，出血/出血休克，以及骨折的原因是承认ICU患者的原因。结论：慢性阻塞性肺病，肥胖，糖尿病和酗酒等患者的患者是VAP的高危组。应特别注意，随着患者预见到VAP的患者，应使用多器官创伤，裂缝和出血/出血性休克患者。需要进一步研究不可修改的VAP的危险因素，例如ICU入学的合法化和原因，以便更接近对这些患者进行VAP的监测。

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