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首页> 外文期刊>Journal of International Medical Research >Risk factors for ventilator-associated pneumonia in trauma patients with torso injury: a retrospective single-center study
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Risk factors for ventilator-associated pneumonia in trauma patients with torso injury: a retrospective single-center study

机译：躯干损伤创伤患者呼吸机相关肺炎的危险因素：回顾性单中心研究

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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.
机译：目的我们旨在确定躯干损伤后患者患者呼吸机相关肺炎的危险因素。方法方法回顾性地评估了178名躯干损伤患者的躯干损伤患者。GT; 15年内在急诊室内插管，并在重症监护室（ICU）入场后的机械通风机放置，幸存下来，＆amp; GT; 48小时，有胸部和胸部/或腹部损伤，没有末期肾病。我们比较了呼吸机相关的肺炎（n？= 54,30.3％）和非呼吸机相关肺炎（N =Δ124,69.7％）组之间的临床实验室变量。使用多变量逻辑回归分析评估呼吸机相关肺炎的危险因素。结果呼吸机相关的肺炎与ICU（11.3与6.8天）的显着长时间保持较长，并且机械通气持续时间较长（7与3天）。伤害严重程度评分（调整的赔率比[AOR]：1.048; 95％置信区间[CI]：1.008-1.090），使用血管加压剂（AOR：2.541; 95％CI：1.121-5.758），并插入鼻子管（ AOR：6.749; 95％CI：2.397-18.999）被确定为呼吸机相关肺炎的独立危险因素。结论呼吸器相关的肺炎患者患者被送入ICU的患者与伤害严重程度评分高度相关，对血管加压器的使用以及插入鼻子管。

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