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Incidence and potential risk factors for hospital-acquired pneumonia in an emergency department of surgery
Linköping University, Department of Clinical and Experimental Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Research & Development Unit in Local Health Care.
2017 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 29, no 2, 290-294 p.Article in journal (Refereed) Published
Abstract [en]

Hospital-acquired pneumonia (HAP) is associated with high mortality and is the second most common nosocomial infection. The aim of this study was to calculate the incidence and to identify potential risk factors for HAP in an emergency ward for surgical patients admitted because of acute abdomen or trauma. A structured review of medical records was conducted. Patients diagnosed with pneumonia amp;gt; 48 h after admittance, were compared with a randomly chosen age-matched reference group. Ten variables judged as potential risk factors for HAP were studied in 90 patients. An emergency ward for surgical patients with acute abdomen or trauma at an Univerity hospital in Sweden. A total of 90 patients with HAP and 120 age-matched controls were included. Risk factors for HAP in patients at a surgical clinic. Of a total of 10 335 admitted patients, during 4.5 years the hospital stay was longer than 48 h in 4961 patients. Of these 90 (1.8%) fulfilled the strict criteria for HAP. Potential risk factors were suspected or verified aspiration (odds ratio (OR): 23.9) that was 2-fold higher than immobilization (OR: 11.2). Further, chronic pulmonary obstructive disease (COPD)/asthma, abdominal surgery and gastric retention/vomiting were risk factors for HAP. Verified or suspected aspiration was the dominating risk factor for HAP but also immobilization was frequently associated with HAP. Various established preventive measures should be implemented in the nursing care to reduce the frequency of HAP.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS , 2017. Vol. 29, no 2, 290-294 p.
Keyword [en]
advanced nursing; hospital-acquired pneumonia; nursing intervention; prevention; surgery
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:liu:diva-138286DOI: 10.1093/intqhc/mzx018ISI: 000400858300021PubMedID: 28339769OAI: oai:DiVA.org:liu-138286DiVA: diva2:1109072
Available from: 2017-06-13 Created: 2017-06-13 Last updated: 2017-06-13

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Stenlund, MarieSjödahl, RuneYngman Uhlin, Pia
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Department of Clinical and Experimental MedicineFaculty of Medicine and Health SciencesDepartment of Surgery in LinköpingDivision of Surgery, Orthopedics and OncologyDepartment of Medical and Health SciencesResearch & Development Unit in Local Health Care
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International Journal for Quality in Health Care
Cardiac and Cardiovascular Systems

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