私人家庭护理中发生呼吸机相关性肺炎患者的特征。
Profile of patients in private home care who developed ventilator-associated pneumonia.
机构信息
Home Doctor. São Paulo, São Paulo, Brazil.
出版信息
Rev Bras Enferm. 2024 Jul 29;77(3):e20230146. doi: 10.1590/0034-7167-2023-0146. eCollection 2024.
OBJECTIVES
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
METHODS
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
RESULTS
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
CONCLUSIONS
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
目的
分析在私人家庭护理中发生呼吸机相关性肺炎（VAP）的患者的特征和临床结局，并与全国数据进行比较发病率。
方法
这是一项回顾性研究，数据来自 2021 年 7 月至 2022 年 6 月期间一家私人诊所的患者记录。排除使用间歇通气或无通气支持的患者。
结果
机械通气使用率为 15.9%。儿科肺炎的发病率密度为每 1000 通气日 2.2 例，成人肺炎的发病率密度为每 1000 通气日 1.7 例，低于国家卫生监测机构报告的数据。73 名患者中有 101 例发生肺炎，主要为男性（65.8%）、成年人（53.4%）和患有神经系统疾病的患者（57.5%）。治疗方案主要在家庭中进行（80.2%），有 1 例死亡。
结论
家庭护理中的患者呼吸机相关性肺炎的发病率和死亡率较低。
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