Risk factors and direct economic burden of postoperative pulmonary infection in patients with aortic dissection
10.3760/cma.j.cn115682-20220913-04488
- VernacularTitle:主动脉夹层患者术后肺部感染的危险因素及直接经济负担分析
- Author:
Wenwen YUE
1
;
Wenjing ZHANG
;
Xu LIU
;
Chaonan SUN
;
Weihua LI
Author Information
1. 山东大学护理与康复学院，济南 250012
- Keywords:
Risk factors;
Aortic dissection;
Postoperative;
Pulmonary infection;
Economic burden
- From:
Chinese Journal of Modern Nursing
2023;29(26):3523-3530
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors and direct economic burden of postoperative pulmonary infection after aortic dissection (AD) .Methods:A total of 120 patients who underwent aortic dissection in Qilu Hospital of Shandong University from January to December 2021 were selected as research objects by the convenient sampling method. They were divided into the infected group ( n=37) and the non-infected group ( n=83) according to whether pulmonary infection occurred after operation. The risk factors of pulmonary infection in patients undergoing aortic dissection were investigated by univariate and multivariate analysis. The Propensity score matching method was used for 1∶1 matching of patients between the two groups to analyze the direct economic burden. Results:A total of 37 patients developed pulmonary infections after surgery, with an infection rate of 30.83% (37/120). Binomial logistic regression analysis showed that the secondary tracheal intubation [ OR=1.888, 95% CI (1.083-3.291), P=0.025], perioperative red blood cell infusion [ OR=1.051, 95% CI (1.013-1.091), P=0.009], retained gastric tube [ OR=5.934, 95% CI (3.450-10.205), P<0.001], nasal feeding diet [ OR=1.319, 95% CI (1.181-1.564), P<0.001], the indwelling time of pericardial mediastinal drainage tube [OR=1.002, 95% CI (1.000-1.004), P=0.049]were independent risk factors for pulmonary infection in patients with aortic dissection after surgery. After propensity score matching, a total of 37 pairs of patients were successfully matched, and the direct economic burden caused by postoperative pulmonary infection was 20 324.00 yuan. Conclusions:The incidence of pulmonary infection after aortic dissection is high, and the economic burden after infection is increased. Hospital infection managers should conduct targeted interventions based on relevant risk factors to reduce the occurrence of postoperative pulmonary infections and alleviate the disease and economic burden.
