multivariate Logistic regression analysis of risk factors for ventilator- associated pneumonia in comprehensive ICU and nursing countermeasures
10.3760/cma.j.issn.1672-7088.2010.11.008
- VernacularTitle:综合ICU内呼吸机相关性肺炎的多因素Logistic回归分析及护理对策
- Author:
Fangping TAO
;
Xiandi HE
;
Huan DUAN
- Publication Type:Journal Article
- Keywords:
Ventilator-associated pneumonia;
Risk factors;
Multivariate analysis;
Nursing
- From:
Chinese Journal of Practical Nursing
2010;26(31):18-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the morbidity, risk factors and nursing of ventilator-associated pneumonia (VAP) in comprehensive ICU. Methods It was a retrospective survey. 98 mechanical ventilation (＞ 48 h) patients from Jan to Dec, 2009 in comprehensive ICU were reviewed using questionnaires to collect the clinical data. They were divided into the VAP and the non-VAP group. Several statistically significant risk factors were screened out with univarite analysis, then independent risk factors were determined with multiple Logistic regression. Results The morbidity of VAP was 35.7%. Univariate analysis showed that the level of APACHE Ⅱ score, duration of mechanical ventilation, whether primary lung disease, whether acid-suppressing agents, whether the semi-supine, whether accidental tube removal, oral care approach, whether attracted to subglottic were statistically significant risk factors of VAP. While multivariate Logistic regression analysis showed that the duration of mechanical ventilation, whether the semi- supine,whether attracted to subglottic were the major risk factors of VAP. Conclusions The occurrence of VAP is related with multiple factors. Application of comprehensive prevention strategies in accordance with these risk factors of VAP can reduce the morbidity of VAP effectively.
