Risk factors for ventilator-associated pneumonia: among trauma patients with and without brain injury

J Trauma Nurs. 2015 May-Jun;22(3):125-31. doi: 10.1097/JTN.0000000000000121.

Abstract

Ventilator-associated pneumonia (VAP) rates remain highest among trauma and brain injured patients; yet, no research compares VAP risk factors between the 2 groups. This retrospective, case-controlled study identified risk factors for VAP among critically ill trauma patients with and without brain injury. Data were abstracted on trauma patients with (cases) and without (controls) brain injury. Data gathered on n = 157 subjects. Trauma patients with brain injury had more emergent and field intubations. Age was strongest predictor of VAP in cases, and ventilator days predicted VAP in controls. Trauma patients with brain injury may be at higher risk for VAP.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Age Factors
  • Brain Injuries / complications
  • Brain Injuries / diagnosis
  • Brain Injuries / therapy*
  • Case-Control Studies
  • Cause of Death
  • Critical Illness / mortality
  • Critical Illness / therapy
  • Female
  • Hospital Mortality
  • Humans
  • Intensive Care Units
  • Length of Stay
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Pneumonia, Ventilator-Associated / epidemiology*
  • Pneumonia, Ventilator-Associated / physiopathology
  • Prevalence
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Statistics, Nonparametric
  • Trauma Centers
  • Trauma Severity Indices
  • Ventilators, Mechanical / adverse effects*
  • Wounds and Injuries / complications
  • Wounds and Injuries / diagnosis
  • Wounds and Injuries / therapy*
  • Young Adult