RISK FACTORS FOR THE DEVELOPMENT OF HOSPITAL-ACQUIRED PNEUMONIA IN POLYTRAUMA PATIENTS
Resumo
Introduction: The literature has been demonstrating that the incidence of Hospital-Acquired Pneumonia is higher in victims of trauma. The objective is to identify the risk factors for the development of Hospital-Acquired Pneumonia in polytrauma patients. Outline: Retrospective and longitudinal study, with analysis of 70 medical records of admitted patients in the emergency unit at a tertiary hospital, for a period longer than 48 hours. There were collected from medical records: admission data, data of the trauma, invasive methods and clinical indicators of pneumonia in the hospitalization. Results: From the 70 included patients, 15 (21,4%) showed pneumonia until the fifth hospitalization day. When applied the univariate logistic regression, it was observed that the Glasgow Coma Scale to the admission (p=0,03), use of endotracheal tube (p=0,01) and nasogastric tube (p=0,04) associated with the increasing of the risk of hospital-acquired pneumonia. Implications: the study demonstrated that level of consciousness, the use of endotracheal tube and the use of the nasogastric tube are predisposing factors for the development of hospital-acquired pneumonia in these patients, being the endotracheal intubation an independent risk factor.
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Referências
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DOI: https://doi.org/10.26694/repis.v6i0.10548
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