Current status and risk factors for hospital-acquired rhinosinusitis in Neurocritical Care Unit patients
10.3760/cma.j.cn115682-20250124-00421
- VernacularTitle:神经内科危重症患者医院获得性鼻窦炎发生现况及危险因素分析
- Author:
Qiong CHEN
1
;
Qindi ZHANG
;
Dongmei WANG
;
Man YANG
;
Linyan LAI
;
Daihong CHENG
;
Xiaoxian HUANG
;
Xiaoyan LIAO
Author Information
1. 南方医科大学南方医院神经内科，广州 510510
- Publication Type:Journal Article
- Keywords:
Risk factor;
Neurocritical illness;
Hospital-acquired sinusitis;
Nasogastric tube;
Smoking;
Length of hospitalization
- From:
Chinese Journal of Modern Nursing
2025;31(16):2231-2235
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of hospital-acquired rhinosinusitis (HAR) in Neurocritical Care Unit (NCU) patients and to analyze its risk factors.Methods:From January 2021 to December 2022, 819 NCU patients of Nanfang Hospital, Southern Medical University were selected by whole population sampling method, of which 125 patients met the inclusion and exclusion criteria for analysis. Patients were categorized into HAR group ( n=69) and non-HAR group ( n=56) based on the occurrence of HAR. Differences in demographic and clinical data of the two groups of patients were compared. Logistic regression analysis was used to explore the risk factors for the HAR in patients. Results:HAR occurred in 69 NCU patients, with an incidence of 55.2% (69/125) . There were statistically significant differences in gender, smoking history, Glasgow Coma Scale score on admission, whether or not there was pneumonia, whether or not a nasogastric tube was indwelt before the occurrence of HAR, whether or not tracheal intubation was performed before the occurrence of HAR, whether or not mechanical ventilation was conducted before the occurrence of HAR, whether or not tracheotomy was performed, and the length of NCU stay between patients in HAR group and non-HAR group ( P<0.05) . Logistic regression analysis showed that indwelling nasogastric tube before the occurrence of HAR, failure to quit smoking before admission, and prolonged NCU stay were risk factors for HAR ( OR=6.291, 3.976, 1.089; P<0.05) . Conclusions:NCU patients have a high incidence of HAR, and indwelling nasogastric tube, failure to quit smoking before admission, and prolonged NCU stay are risk factors for HAR in NCU patients.
