Data/hora: 10/06/2024 09:06:48

Provedor de dados: | 56
País: | Brazil
Título: | [RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients
Autores: | Cui,J.B.; Chen,Q.Q.; Liu,T.T.; Li,S.J.
Data: | 2018-01-01
Ano: | 2018
Palavras-chave: | Ventilator-acquired pneumonia; Aneurysmal subarachnoid hemorrhage; Risk factors; Multivariate analysis; Pathogen.
Resumo: | This study aimed to investigate the risk factors related to ventilator-acquired pneumonia (VAP) in aneurysmal subarachnoid hemorrhage (SAH) patients. From January 2011 to December 2015, a single-center retrospective study including 200 SAH patients requiring mechanical ventilation (MV) ≥48 h was performed. The clinical data of these patients were collected and analyzed. The age range of the patients were 41–63 and 72 (36%) were male. The Glasgow coma scale score range was 5–15 and the Simplified Acute Physiology Score II range was 31–52. One hundred and forty-eight (74%) patients had a World Federation of Neurosurgeons (WNFS) score ≥III. Aneurysm was secured with an endovascular coiling procedure in 168 (84%) patients and 94 (47%) patients presented VAP. Male gender (OR=2.25, 95%CI=1.15–4.45), use of mannitol (OR=3.02, 95%CI=1.53–5.94) and enteral feeding above 20 kcal·kg−1·day−1 (OR=2.90, 95%CI=1.26–6.67) after day 7 were independent factors for VAP. Patients with early-onset VAP had a longer duration of sedation (P=0.03), MV (P=0.001) and ICU length of stay (P=0.003) and a worse Glasgow Outcome Scale score (P&lt;0.001), but did not have a higher death rate.
Tipo: | Info:eu-repo/semantics/article
Idioma: | Inglês
Identificador: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000700605
Editor: | Associação Brasileira de Divulgação Científica
Relação: | 10.1590/1414-431x20176830
Formato: | text/html
Fonte: | Brazilian Journal of Medical and Biological Research  v.51 n.7 2018
Fonte: | info:eu-repo/semantics/openAccess