Risk factors and epidemiological characteristics of hospital-acquired pneumonia in elderly diabetes mellitus
10.3969/j.issn.1006-2483.2025.05.035
- VernacularTitle:老年糖尿病医院获得性肺炎的流行病学特征及危险因素
- Author:
Huan YU
1
;
Zhen NI
1
;
Ling DUAN
1
;
Hongyong LI
1
Author Information
1. Department of Infection , General Hospital of Western Theater Command , Chengdu , Sichuan 610000 , China
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Hospital-acquired pneumonia;
Epidemiological characteristics
- From:
Journal of Public Health and Preventive Medicine
2025;36(5):159-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the epidemiological characteristics and risk factors of hospital-acquired pneumonia in elderly diabetic patients. Methods Elderly patients with diabetes mellitus who were hospitalized in the hospital were selected from October 2020 to October 2023 as the research subjects. The epidemiological characteristics of hospital-acquired pneumonia were analyzed, and the risk factors affecting hospital-acquired pneumonia in elderly patients with diabetes mellitus were analyzed . Results There were 65 cases of hospital-acquired pneumonia in 388 elderly patients with diabetes mellitus, with an incidence of 16.75%, of which 56.92% were males and 43.08% were females. The proportion of patients aged≥80 years was higher than that of patients aged<80 years. There were no significant differences in gender, body mass index, education level, course of diabetes mellitus, smoking history, drinking history, hypertension, coronary heart disease and anemia between groups (P>0.05), but significant differences were shown in age, hospitalization time, tracheal invasive operation, types of antibacterial drug use and dysphagia between both groups (P<0.05). Logistic multivariate analysis showed that age≥80 years old, hospitalization time≥30 d, tracheal invasive operation, use of antibacterial drugs≥ 2 types, and dysphagia were independent risk factors for hospital-acquired pneumonia in elderly diabetic patients (P<0.05). Conclusion The risk of hospital-acquired pneumonia is high in elderly patients with diabetes mellitus. Patients with age≥80 years old, hospitalization time≥30 days, tracheal invasive operation, abuse of antibacterial drugs and dysphagia are high-risk population. It is necessary to take active intervention measures for such patients.
