[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Medical and Biological Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000700605 |
Resumo: | This study aimed to investigate the risk factors related to ventilator-acquired pneumonia (VAP) in aneurysmal subarachnoid hemorrhage (SAH) patients. From January 2011 to December 2015, a single-center retrospective study including 200 SAH patients requiring mechanical ventilation (MV) ≥48 h was performed. The clinical data of these patients were collected and analyzed. The age range of the patients were 41–63 and 72 (36%) were male. The Glasgow coma scale score range was 5–15 and the Simplified Acute Physiology Score II range was 31–52. One hundred and forty-eight (74%) patients had a World Federation of Neurosurgeons (WNFS) score ≥III. Aneurysm was secured with an endovascular coiling procedure in 168 (84%) patients and 94 (47%) patients presented VAP. Male gender (OR=2.25, 95%CI=1.15–4.45), use of mannitol (OR=3.02, 95%CI=1.53–5.94) and enteral feeding above 20 kcal·kg−1·day−1 (OR=2.90, 95%CI=1.26–6.67) after day 7 were independent factors for VAP. Patients with early-onset VAP had a longer duration of sedation (P=0.03), MV (P=0.001) and ICU length of stay (P=0.003) and a worse Glasgow Outcome Scale score (P<0.001), but did not have a higher death rate. |
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[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patientsVentilator-acquired pneumoniaAneurysmal subarachnoid hemorrhageRisk factorsMultivariate analysisPathogenThis study aimed to investigate the risk factors related to ventilator-acquired pneumonia (VAP) in aneurysmal subarachnoid hemorrhage (SAH) patients. From January 2011 to December 2015, a single-center retrospective study including 200 SAH patients requiring mechanical ventilation (MV) ≥48 h was performed. The clinical data of these patients were collected and analyzed. The age range of the patients were 41–63 and 72 (36%) were male. The Glasgow coma scale score range was 5–15 and the Simplified Acute Physiology Score II range was 31–52. One hundred and forty-eight (74%) patients had a World Federation of Neurosurgeons (WNFS) score ≥III. Aneurysm was secured with an endovascular coiling procedure in 168 (84%) patients and 94 (47%) patients presented VAP. Male gender (OR=2.25, 95%CI=1.15–4.45), use of mannitol (OR=3.02, 95%CI=1.53–5.94) and enteral feeding above 20 kcal·kg−1·day−1 (OR=2.90, 95%CI=1.26–6.67) after day 7 were independent factors for VAP. Patients with early-onset VAP had a longer duration of sedation (P=0.03), MV (P=0.001) and ICU length of stay (P=0.003) and a worse Glasgow Outcome Scale score (P<0.001), but did not have a higher death rate.Associação Brasileira de Divulgação Científica2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000700605Brazilian Journal of Medical and Biological Research v.51 n.7 2018reponame:Brazilian Journal of Medical and Biological Researchinstname:Associação Brasileira de Divulgação Científica (ABDC)instacron:ABDC10.1590/1414-431x20176830info:eu-repo/semantics/openAccessCui,J.B.Chen,Q.Q.Liu,T.T.Li,S.J.eng2020-01-09T00:00:00Zoai:scielo:S0100-879X2018000700605Revistahttps://www.bjournal.org/https://old.scielo.br/oai/scielo-oai.phpbjournal@terra.com.br||bjournal@terra.com.br1414-431X0100-879Xopendoar:2020-01-09T00:00Brazilian Journal of Medical and Biological Research - Associação Brasileira de Divulgação Científica (ABDC)false |
dc.title.none.fl_str_mv |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
title |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
spellingShingle |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients Cui,J.B. Ventilator-acquired pneumonia Aneurysmal subarachnoid hemorrhage Risk factors Multivariate analysis Pathogen |
title_short |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
title_full |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
title_fullStr |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
title_full_unstemmed |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
title_sort |
[RETRACTED ARTICLE] Risk factors for early-onset ventilator-associated pneumonia in aneurysmal subarachnoid hemorrhage patients |
author |
Cui,J.B. |
author_facet |
Cui,J.B. Chen,Q.Q. Liu,T.T. Li,S.J. |
author_role |
author |
author2 |
Chen,Q.Q. Liu,T.T. Li,S.J. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cui,J.B. Chen,Q.Q. Liu,T.T. Li,S.J. |
dc.subject.por.fl_str_mv |
Ventilator-acquired pneumonia Aneurysmal subarachnoid hemorrhage Risk factors Multivariate analysis Pathogen |
topic |
Ventilator-acquired pneumonia Aneurysmal subarachnoid hemorrhage Risk factors Multivariate analysis Pathogen |
description |
This study aimed to investigate the risk factors related to ventilator-acquired pneumonia (VAP) in aneurysmal subarachnoid hemorrhage (SAH) patients. From January 2011 to December 2015, a single-center retrospective study including 200 SAH patients requiring mechanical ventilation (MV) ≥48 h was performed. The clinical data of these patients were collected and analyzed. The age range of the patients were 41–63 and 72 (36%) were male. The Glasgow coma scale score range was 5–15 and the Simplified Acute Physiology Score II range was 31–52. One hundred and forty-eight (74%) patients had a World Federation of Neurosurgeons (WNFS) score ≥III. Aneurysm was secured with an endovascular coiling procedure in 168 (84%) patients and 94 (47%) patients presented VAP. Male gender (OR=2.25, 95%CI=1.15–4.45), use of mannitol (OR=3.02, 95%CI=1.53–5.94) and enteral feeding above 20 kcal·kg−1·day−1 (OR=2.90, 95%CI=1.26–6.67) after day 7 were independent factors for VAP. Patients with early-onset VAP had a longer duration of sedation (P=0.03), MV (P=0.001) and ICU length of stay (P=0.003) and a worse Glasgow Outcome Scale score (P<0.001), but did not have a higher death rate. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000700605 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000700605 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1414-431x20176830 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Divulgação Científica |
publisher.none.fl_str_mv |
Associação Brasileira de Divulgação Científica |
dc.source.none.fl_str_mv |
Brazilian Journal of Medical and Biological Research v.51 n.7 2018 reponame:Brazilian Journal of Medical and Biological Research instname:Associação Brasileira de Divulgação Científica (ABDC) instacron:ABDC |
instname_str |
Associação Brasileira de Divulgação Científica (ABDC) |
instacron_str |
ABDC |
institution |
ABDC |
reponame_str |
Brazilian Journal of Medical and Biological Research |
collection |
Brazilian Journal of Medical and Biological Research |
repository.name.fl_str_mv |
Brazilian Journal of Medical and Biological Research - Associação Brasileira de Divulgação Científica (ABDC) |
repository.mail.fl_str_mv |
bjournal@terra.com.br||bjournal@terra.com.br |
_version_ |
1754302946373271552 |