Title
Respiratory ventilation and intubation as risk factors for pneumonia in a tertiary hospital
Other title
Ventilación e intubación respiratoria como factores de riesgo para neumonía en un hospital del tercer nivel
Date Issued
01 January 2020
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Editorial Ciencias Medicas
Abstract
Introduction: Healthcare-associated pneumonia worsens the clinical prognosis of patients and exerts economic pressure on health systems. Objective: Determine the risk for healthcare-associated pneumonia among patients exposed to ventilation / intubation and other intrinsic and extrinsic factors. Methods: An analytical cross-sectional study was conducted of the patients admitted to Adolfo Guevara Velazco National Hospital in Cusco in the year 2017. A sample was chosen which was composed of two groups: with and without a pneumonia diagnosis. The estimated sample size was 67 (15 in the pneumonia group and 52 in the non-pneumonia group). Inferential analysis was performed along two stages, using hypothesis contrast tests followed by logistic regression. Intrinsic and extrinsic factors were collected for each patient. Results: Most patients were female (53.7%). Mean age was 70.6 years. The intensive care unit service had the highest proportion of cases (42.9%). A significant association was found with the use of ventilation / intubation, as well as with extrinsic factors such as tracheostomy, secretions aspiration, enteral nutrition and blood transfusion. None of the intrinsic factors had a significant association in the bivariate analysis. In the logistic regression analysis, patients subjected to ventilation / intubation had 5.27 times the risk of contracting pneumonia, whereas patients subjected to blood transfusion had 12.75 times the risk. Conclusions: Patients exposed to ventilation / intubation were at greater risk of developing healthcare-associated pneumonia. Blood transfusion was another associated factor.
Start page
1
End page
13
Volume
72
Issue
3
Language
Spanish
OCDE Knowledge area
Medicina tropical Sistema respiratorio
Scopus EID
2-s2.0-85102152206
Source
Revista Cubana de Medicina Tropical
ISSN of the container
03750760
Sponsor(s)
A la oficina de inteligencia sanitaria del Hospital Nacional Adolfo Guevara Velasco, Dr. Lucio Velásquez Cuentas, Dr. Juan Carlos Yabar y a la Asociación Científica de Estudiantes de Medicina (ASOCIEMH – CUSCO) por su contribución en la recolección de datos. Conflicto de intereses El autor César Johan Pereira Victorio trabajó como Jefe de la Unidad de Inteligencia Sanitaria de EsSalud Cusco durante la realización del “Estudio de prevalencia puntual de las infecciones asociadas a la atención sanitaria en EsSalud Cusco (EPIAAS-E 2017)”.
Sources of information: Directorio de Producción Científica Scopus