Korean J Crit Care Med.  2010 Dec;25(4):224-229. 10.4266/kjccm.2010.25.4.224.

VAP (Ventilator-associated Pneumonia) in Patients with Pulmonary Contusion

• Jeong JH
• Hyun SY
• Kim JJ
• Kim JH
• Lim YS
• Cho JS
• Hwang SY
• Yang HJ

• KMID: 2228183
• DOI: http://doi.org/10.4266/kjccm.2010.25.4.224

Abstract

BACKGROUND
This study was conducted to determine the incidence, risk factors, and outcome of ventilator-associated pneumonia in patients with pulmonary contusion.
METHODS
The study was conducted at an urban teaching hospital emergency department with an annual volume of 80,000 patient visits. A retrospective analysis was conducted on thoracic injury patients admitted between Jan 2007 and Dec 2009. Among 122 patients investigated, 30 patients were excluded. Patient data included basal characteristics and information related to development of ventilator-associated pneumonia and ultimate mortality. Statistical methods included the Chi-square test and the Mann-Whitney test. Study data were stored and processed using Microsoft Office Excel 2007 & SPSS 18.0 for Windows.
RESULTS
Ventilator-associated pneumonia developed in 46 patients (50%). The patients with ventilator-associated pneumonia were more likely to have a longer duration of hospitalization, longer length of ICU stay, longer duration of mechanical ventilation, a low initial GCS, a higher APACHE II score, and were more likely to require emergency intubation or tracheostomy. Factors associated with mortality included longer duration of hospitalization, longer duration of mechanical ventilation, low intial GCS and the need for dialysis.
CONCLUSIONS
Ventilator-associated pneumonia in the patients with pulmonary contusion was not relevant to mortality, but was relevant to longer hospitalization, length of ICU stay and duration of mechanical ventilation.

Keyword

intensive care units; thoracic injury; ventilator-associated pneumonia

MeSH Terms

APACHE
Contusions
Emergencies
Hospitalization
Hospitals, Teaching
Humans
Incidence
Intensive Care Units
Intubation
Pneumonia, Ventilator-Associated
Respiration, Artificial
Retrospective Studies
Risk Factors
Thoracic Injuries
Tracheostomy