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Burn patients with infection-related ventilator associated complications have worse outcomes compared to those without ventilator associated events
- Source :
- The American Journal of Surgery. 215:678-681
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background The Centers for Disease Control and Prevention (CDC) replaced its definition for ventilator-associated pneumonia (VAP) in 2013. The aim of the current study is to compare the outcome of burn patients with ventilator associated events (VAEs). Methods Burn patients with at least two days of ventilator support were identified from the registry between 2013 and 2016. Kruskal-Wallis and Fisher's exact tests were utilized for continuous and categorical variables, respectively. A logistic regression was used for the association between VAE and in-hospital mortality. Results 243 patients were admitted to our burn center, of whom 208 had no VAE, 8 had a VAC, and 27 had an IVAC or PVAP. There was no difference in hospital length of stay, ICU length of stay and ventilator support days between those with no VAE and a VAC. Those with IVAC-plus had significantly worse outcomes compared to patients with no VAEs. Conclusions Burn patients with IVAC-plus had significantly longer hospital and ICU lengths of stay, days on ventilator compared with patients with no VAEs.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Length of hospitalization
Pneumonia ventilator associated
Logistic regression
03 medical and health sciences
0302 clinical medicine
Risk Factors
medicine
Humans
Hospital Mortality
Registries
Aged
Retrospective Studies
business.industry
Pneumonia, Ventilator-Associated
030208 emergency & critical care medicine
Burn center
General Medicine
Length of Stay
Middle Aged
medicine.disease
Respiration, Artificial
Disease control
Surgery
On ventilator
Pneumonia
030228 respiratory system
Emergency medicine
Female
Burns
business
Subjects
Details
- ISSN :
- 00029610
- Volume :
- 215
- Database :
- OpenAIRE
- Journal :
- The American Journal of Surgery
- Accession number :
- edsair.doi.dedup.....6b41d8d057cb9a23598070ea81e86434