ArticleWorld journal of surgery2020
Factors Predictive of Ventilator-associated Pneumonia in Critically Ill Trauma Patients.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 28 citations in OpenAlex.
- Effect of propolis mouthwash on the incidence of ventilator-associated pneumonia in intensive care unit patients: a comparative randomized triple-blind clinical trial.BMC oral health · 2024Trial
- The Impact of Improved Oral Care Methods on the Oral Health of Patients Undergoing Transoral Mechanical Ventilation.Computational and mathematical methods in medicine · 2022Trial
- [Risk factors for ventilator-associated pneumonia in patients with chest trauma in intensive care unit].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- Review
- Mechanical Ventilator-Associated Pneumonia in the COVID-19 Pandemic Era: A Critical Challenge in the Intensive Care Units.Antibiotics (Basel, Switzerland) · 2025Article
- Risk Factors Associated With Worse Outcomes in Trauma Patients Aged 55 and Older.HCA healthcare journal of medicine · 2025Article
- Article
- Incidence and predictors of ventilator-associated pneumonia using a competing risk analysis: a single-center prospective cohort study in Egypt.BMC infectious diseases · 2024Article
- A recalibrated prediction model can identify level-1 trauma patients at risk of nosocomial pneumonia.Archives of orthopaedic and trauma surgery · 2023Article
- Impact of early enteral nutrition on ventilator associated pneumonia in intubated severe trauma patients: A propensity score-matched study.Frontiers in nutrition · 2023Article
- Risk factors for ventilator-associated pneumonia due to multi-drug resistant organisms after cardiac surgery in adults.BMC cardiovascular disorders · 2022Article
- Trends and Factors Associated With Ventilator-Associated Pneumonia: A National Perspective.Cureus · 2022Article
- Predicting the effectiveness of high-flow oxygen therapy in COVID-19 patients: a single-centre observational study.Anaesthesiology intensive therapy · 2022Observational
- Impact of an Educational Intervention Aimed at Nursing Staff on Oral Hygiene Care on the Incidence of Ventilator-Associated Pneumonia in Adults Ventilated in Intensive Care Unit.Investigacion y educacion en enfermeria · 2021Article
- Six-year national study of damage control laparotomy and the effect of repeat re-exploration on rate of infectious complications.Trauma surgery & acute care open · 2021Article
- Current Concepts in Community and Ventilator Associated Lower Respiratory Tract Infections in ICU Patients.Antibiotics (Basel, Switzerland) · 2020Review
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVentilator-associated pneumonia (VAP) is a serious complication of mechanical ventilation. We sought to investigate factors associated with the development of VAP in critically ill trauma patients.
methodsWe conducted a retrospective review of trauma patients admitted to our trauma intensive care unit between 2016 and 2018. Patients with ventilator-associated pneumonia were identified from the trauma database. Data collected from the trauma database included demographics (age, gender and race), mechanism of injury (blunt, penetrating), injury severity (injury severity score "ISS"), the presence of VAP, transfused blood products and presenting vital signs.
resultsA total of 1403 patients were admitted to the trauma intensive care unit (TICU) during the study period; of these, 45 had ventilator-associated pneumonia. Patients with VAP were older (p = 0.030), and they had a higher incidence of massive transfusion (p = 0.015) and received more packed cells in the first 24 h of admission (p = 0.028). They had a higher incidence of face injury (p = 0.001), injury to sternum (p = 0.011) and injury to spine (p = 0.024). Patients with VAP also had a higher incidence of acute kidney injury (AKI) (p < 0.001) and had a longer ICU (p < 0.001) and hospital length of stay (p < 0.001). Multiple logistic regression models controlling for age and injury severity (ISS) showed massive transfusion (p = 0.017), AKI (p < 0.001), injury to face (p < 0.001), injury to sternum (p = 0.007), injury to spine (p = 0.047) and ICU length of stay (p < 0.001) to be independent predictors of VAP.
conclusionsAmong critically ill trauma patients, acute kidney injury, injury to the spine, face or sternum, massive transfusion and intensive care unit length of stay were associated with VAP.
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