Nosocomial Pneumonia and Mortality Among Patients in Intensive Care Units

Contribución de los autores:Los autores contribuyeron en la misma proporción en la elaboración del planteamiento del problema, la definición de la metodología y el tipo de estudio y el establecimiento de objetivos. De igual forma, aportaron a la recolección y elaboración de la base de datos, el análisis estadístico de la información, la redacción de los resultados y la discusión. ARTÍCULO ORIGINAL Biomédica 2014;34(Supl.

show abstract

“…En la literatura se ha determinado una mortalidad asociada a esta enfermedad que varía entre 27 y 71 % (16)(17)(18)(19).…”

Section: Discussionunclassified

Factores de riesgo asociados a mortalidad en infecciones relacionadas con la atención en salud en un hospital universitario de tercer nivel en Colombia

Pallares

Martínez

2013

biomedica

View full text Add to dashboard Cite

show abstract

“…Other studies, using univariate analysis, have suggested that VAP is associated with an increased risk of fatality; but this association was not evident in multivariate analyses [10,11]. The use of stepwise logistic regression to control for effects of confounding variables has shown that VAP increases the risk of death [7,12,13], whereas others do not confirm these conclusions [14]. A recent meta-analysis showed no evidence of attributable mortality due to VAP in patients with trauma or acute respiratory distress syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have reached conflicting conclusions regarding the impact of VAP on mortality [1,[8][9][10][11][12][13][14][15][16][17]. Although the gross mortality rate is high, there are doubts as to whether the higher mortality rate is due to VAP itself or to the seriousness of the underlying illness.…”

Section: Introductionmentioning

confidence: 99%

Ventilator-Associated Pneumonia Is an Important Risk Factor for Mortality After Major Cardiac Surgery

Tamayo¹,

Álvarez²,

Martínez-Rafael³

et al. 2012

Survey of Anesthesiology

View full text Add to dashboard Cite

Purpose: Ventilator-associated pneumonia (VAP) is the main infectious complication in cardiac surgery patients and is associated with an important increase in morbidity and mortality. The aim of our study was to analyze the impact of VAP on mortality excluding other comorbidities and to study its etiology and the risk factors for its development. Materials and Methods: This prospective cohort study included 1610 postoperative cardiac surgery patients' status post cardiopulmonary bypass (CPB)

show abstract

“…These procedures lead to a 5 to 10-fold increase in the incidence of hospital infections and a longer period of hospitalization in the ICU [3].…”

mentioning

confidence: 99%

Multivariate analysis of the factors associated with the risk of pneumonia in intensive care units

Carrilho¹,

Grion²,

Bonametti³

et al. 2007

Braz J Infect Dis

View full text Add to dashboard Cite

Pneumonia is the most frequent hospital infection in patients admitted to intensive care units (ICU) and is also responsible for the highest lethality rates, as well as an increase in both the duration and costs of hospitalization. The objective of this study was to identify predisposing factors for pneumonia. A prospective cohort study was carried out between June 1996 and June 1997, and included 540 patients admitted consecutively for periods greater than 24 hours to the adult ICU of the Londrina State University's Teaching Hospital. Of these, 83 (15.4%) developed pneumonia. All patients were analyzed with respect to various risk factors for hospital-acquired pneumonia. Univariate analysis identified the following factors: decreased level of consciousness, craniotomy, prior use of antibiotics, mechanical ventilation, nasogastric tube feeding, enteral feeding, aspiration of gastric contents, central venous catheter and the time spent in the ICU. Multivariate analysis identified four risk factors for pneumonia in the ICU: tracheotomy (RR = 1.09; 95%CI = 1.04-1.17), nasogastric tube feeding (RR = 1.11; 95%CI = 1.05-1.18), H2-blocker use (RR = 1.09; 95%CI = 1.05-1.14) and decreased level of consciousness (RR = 2.67; 95%CI = 1.43-5.04). In 56.6% of patients, pneumonia occurred within the first four days following ICU admission. The risk factors identified were all necessary for the treatment of the patient except for decreased level of consciousness, either present at admission or occurring during hospitalization due to deterioration in the clinical condition of the patient or to the use of sedatives.

show abstract

Nosocomial Pneumonia and Mortality Among Patients in Intensive Care Units

Cited by 391 publications

References 24 publications

Factores de riesgo asociados a mortalidad en infecciones relacionadas con la atención en salud en un hospital universitario de tercer nivel en Colombia

Factores de riesgo asociados a mortalidad en infecciones relacionadas con la atención en salud en un hospital universitario de tercer nivel en Colombia

Ventilator-Associated Pneumonia Is an Important Risk Factor for Mortality After Major Cardiac Surgery

Multivariate analysis of the factors associated with the risk of pneumonia in intensive care units

Contact Info

Product

Resources

About